{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:20:23Z","timestamp":1787772023103,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>Nocardiosis is a rare infection due to a ubiquitous, gram-positive, weakly acid-fast, filamentous, aerobic bacteria, that are usually responsible for opportunistic infection in immunocompromised patients. Less frequently, nocardiosis can affect immunocompetent patients, causing primary cutaneous infections. Here we present a case of a 45-year-old housewife with a 12-day history of red painful nodules arranged linearly on her right upper limb, without any apparent history of injuries or comorbidities, albeit with a hobby of gardening. The unusual yet characteristic presentation, microbiological findings, and excellent response to co-trimoxazole therapy were consistent with a diagnosis of sporotrichoid primary cutaneous nocardiosis. The uncommon lymphocutaneous presentation is often misdiagnosed. Therefore, keeping a high index of suspicion in such cases is important to improve the cure rate and prevent complications.<\/jats:p>","DOI":"10.4103\/idoj.idoj_133_23","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T06:02:09Z","timestamp":1710396129000},"page":"270-273","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Sporotrichoid Primary Cutaneous Nocardiosis: A Rare Case of Isolated Upper-Limb Involvement in a Housewife"],"prefix":"10.4103","volume":"15","author":[{"given":"Juhi Fatima","family":"Sultan","sequence":"first","affiliation":[{"name":"Department of D.V.L, Deccan College of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Razvi","sequence":"additional","affiliation":[{"name":"Department of D.V.L, Deccan College of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nayeem Sadath","family":"Haneef","sequence":"additional","affiliation":[{"name":"Department of D.V.L, Deccan College of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarwat","family":"Fatima","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Deccan College of Medical Sciences, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10,5]]},"reference":[{"key":"R1-20240828","first-page":"386","article-title":"Primary cutaneous nocardiosis: A case study and review","volume":"69","author":"Inamadar","year":"2003","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R2-20240828","first-page":"S176","article-title":"Primary cutaneous nocardiosis","volume":"24","author":"Jiang","year":"2014","journal-title":"J Coll Physicians Surg 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literature review","volume":"30","author":"Lovecchio","year":"2022","journal-title":"Infez Med"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/s15010-002-2127-9","article-title":"Infection with Nocardia species: Clinical spectrum of the disease and species distribution in Madrid, Spain 1978-2001","volume":"30","author":"Pintatdo","year":"2002","journal-title":"Infection"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"488","DOI":"10.3390\/medicina58040488","article-title":"Primary lymphocutaneous Nocardia brasiliensis in an immunocompetent host: Case report and literature review","volume":"58","author":"Dumic","year":"2022","journal-title":"Medicina (Kaunas)"},{"key":"R9-20240828","first-page":"37","article-title":"Spontaneous remission of primary cutaneous nocardiosis","volume":"59","author":"Ramani","year":"1993","journal-title":"Indian J Dermatol Venereol Leprol"},{"key":"R10-20240828","first-page":"164","article-title":"Lymphocutaneous nocardiosis presenting as inguinal bubo","volume":"48","author":"Belliappa","year":"2003","journal-title":"Indian J Dermatol"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1016\/j.cmi.2020.12.019","article-title":"How do I manage nocardiosis?","volume":"27","author":"Margalit","year":"2021","journal-title":"Clin Microbiol Infect"}],"container-title":["Indian Dermatology Online Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/idoj.idoj_133_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:27:07Z","timestamp":1787768827000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/idoj.idoj_133_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,5]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/idoj.idoj_133_23","relation":{},"ISSN":["2229-5178","2249-5673"],"issn-type":[{"value":"2229-5178","type":"print"},{"value":"2249-5673","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,5]]},"assertion":[{"value":"2023-02-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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