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Journal of the American Academy of Dermatology
Volume 38, n° 5S
pages 874-876 (mai 1998)
Doi : 10.1016/S0190-9622(98)70479-7
Disseminated subcutaneous Nocardia farcinica abscesses in a nephrotic syndrome patient

T. Shimizu, MDa, H. Furumoto, MDa, C. Asagami, MDa, K. Kanaya, MDb, Y. Mikami, PhDc, M. Muto, MDa
Ube, Onoda, and Chiba, Japan 
From the Department of Dermatology, Yamaguchi University School of Medicine, a Ube; Division of Otorhinolaryngology, Onoda City Hospital, b Onoda; and Division of Experimental Chemotherapy, Research Center for Pathogenic Fungi and Microbial Toxicoses, Chiba University, c Chiba 


We describe an unusual case of disseminated subcutaneous abscesses caused by Nocardia farcinica in a 49-year-old man with nephrotic syndrome. He had received systemic corticosteroid therapy for 5 months. He developed a submandibular abscess associated with sialoadenitis on the right submaxillary gland. Magnetic resonance imaging revealed connection between the submandibular abscess and the right submaxillary gland. The subcutaneous abscess spread from the submandibular triangle to the left axillary region, the left upper arm, the left hypochondriac region, the left scapular region, the right epigastric region, and the bilateral legs. A chest radiograph and computed tomograms of the chest and the brain did not reveal any pathologic changes. The patient was successfully treated by surgical drainage of the abscesses and by oral administration of minocycline. (J Am Acad Dermatol 1998;38:874-6.)

The full text of this article is available in PDF format.

 This article is made possible through an educational grant from Ortho Dermatological.
 Reprint requests: Takahiro Shimizu, MD, Department of Dermatology, Yamaguchi University School of Medicine, 1144 Kogushi, Ube, Yamaguchi 755, Japan.
 0190-9622/98/$5.00 + 0 16/4/87642

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