Disseminated Nocardia paucivorans infection in a 64-year-old patient with first manifestation as an ulnocarpal forearm lesion

Case Reports in Plastic Surgery & Hand Surgery · Available online 28 Mar 2026 · In press · DOI 10.1080/23320885.2026.2643076

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Abstract

We report a 64-year-old immunocompromised patient receiving chemotherapy for metastatic colorectal adenocarcinoma who presented with a purulent forearm lesion. Surgical debridement identified Nocardia paucivorans. PET-CT and MRI revealed pulmonary and cerebral involvement. Escalated antimicrobial therapy achieved complete regression of brain lesions; the patient died 11 months later from underlying disease.

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Year
2026

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