Rita LINO, Elisabete RIOS, Sofia R. VALDOLEIROS
Infectious Diseases and Clinical Microbiology - 2026;8(2):224-227
A 71-year-old construction worker presented to the outpatient clinic with worsening nodules on his left hand associated with cutaneous fistulization, accompanied by edema, pain, and limited movement. The patient was originally from Guinea-Bissau. His medical history was notable for a 14-year history of recurrent left-hand lesions. A new biopsy was then performed and showed chronic inflammation with focal abscesses, without identification of microorganisms. Polymerase chain reaction (PCR) of the biopsied tissue was positive for Nocardia spp.