Chinese Journal of Dermatology ›› 1999, Vol. 32 ›› Issue (5): 297-299.

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Subcutaneous and Brain Abscesses Caused by Nocardia farcinica Infection in a Patient with Systemic Lupus Erythematosus

XI Liyan1, LU Changming1, ZENG Fanqin1   

  1. Department of Dermatology, Sun Yat Sen Memorial Hospital, Sun Yat Sen Medical University, Guangzhou 510120
  • Received:1999-01-26 Revised:1999-03-29 Online:1999-10-15 Published:1999-10-15

Abstract: Objective To study the pathogens of subcutaneous and brain abscesses in a patient with SLE.Methods Specimens were taken from the leg abscess and spinal fluid of the patient.Then,smear,Gram's stain and culture were done to identify the pathogen.Results A strain of Nocardia farcinica was isolated,which was Gram's positive The colony was very similar to that of Nocardia asteroides in morphology and physiological characteristics,with a little difference in biochemical characteristics.N.Farcinica grew at 45℃;produced acid from glucose,rhamnose,or erythritol;did not decompose tyrosine and xanthine.It was acid fast and hydrolyzed urea.The strain was multi-drug-resistant and could cause multi-abscesses in mice.Conclusion N.Farcinica is pathogenic,virulent and multi drug resistant,and could cause severe outcome,especially in SLE patients.

Key words: Lupus erythematosus,systemic, Nocardia farcinica