Dermatologic Manifestations of Nocardiosis Treatment & Management
- Author: Brent A Shook, MD; Chief Editor: Dirk M Elston, MD more...
For primary cutaneous nocardiosis, antibiotic therapy is usually recommended, although spontaneous resolution occurs in some cases without treatment. Recommendations regarding the duration of therapy range from 2-3 months for most cutaneous infections to 1 year for chronic cutaneous and systemic infections. Trimethoprim-sulfamethoxazole (TMP-SMZ) is used most frequently for nocardiosis.
Surgical debridement or excision often is vital in the treatment of nocardiosis. Surgery is most helpful in abscesses and mycetomas, but it can also help resolve lymphocutaneous infection. In a review of nocardial lymphocutaneous syndrome published in 1999, of 50 patients, 11 required surgery as a primary or secondary treatment.
See the list below:
- Consult a dermatologist regarding the diagnostic workup and optimization of therapy.
- Consult an infectious disease specialist regarding the diagnostic workup and optimization of therapy.
- Consultation with a general surgeon or orthopedic surgeon may be required if extensive surgical debridement is necessary.
Activity depends on the severity of illness and the location of the infection.
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