Nocardiosis cutánea: a propósito de un caso clínico

espanolSe trata de paciente masculino, albanil, quien, despues de trauma durante su trabajo, presenta nodulo eritematoso que de forma progresiva evoluciona a tumoracion de 10 x 5 cm de diametro en 1/3 distal del antebrazo izquierdo. Consulta seis anos despues del trauma, se le realiza cultivo micologico y de micobacterias, los cuales fueron negativos, directo micologico en el que se evidencian granos blanquecinos con clavas, y un estudio histopatologico que reporta granos microfusionados con banda esosinofila densa y coloraciones con PAS y Ziehl- Neelsen positivas. Se concluyo caso como nocardiosis cutanea con una presentacion poco usual; se le indico tratamiento con trimetoprim/sulfametoxazol 160/800 mg durante un ano, con evolucion clinica favorable. EnglishThis is a male patient, a mason, who, after a trauma during his work, has an erythematous nodule that progressively evolves to a 10 x 5 cm diameter tumor in 1/3 distal of the left forearm, consult 6 years after the trauma. Mycobacterial culture and mycobacteria were carried out, which were negative, direct mycological in which white grains with claves were detected. A histopathological study that reports microfused grains with dense asphyxia and stains with PAS and Ziehl-Neelsen positive. The case was concluded as a cutaneous nocardiosis, with an unusual presentation and treatment with trimethoprim / sulfamethoxazole 160/800 mg for one year, with a favorable clinical course.