Article Text

Successful medical management of cutaneous Nocardia species infection in a dog receiving ciclosporin (Atopica)
  1. Karen Ho1,
  2. Bob Kennis1,
  3. Maninder Sandey2 and
  4. Amelia White1
  1. 1Department of Clinical Sciences, Auburn College of Veterinary Medicine, Auburn, Alabama, USA
  2. 2Department of Pathobiology, Auburn College of Veterinary Medicine, Auburn, Alabama, USA
  1. Correspondence to Dr Amelia White; agw0013{at}


A two-year-old male castrated Shiba Inu with atopic dermatitis presented to the Small Animal Teaching Hospital with a one-month history of swelling, lameness and crusting on the plantar aspect of the paw of the left hindlimb. At presentation, he was receiving subcutaneous injections of allergen-specific immunotherapy and oral ciclosporin at 4.3 mg/kg daily for the past 8 and 19 months, respectively. Tissue aerobic culture and susceptibility revealed Nocardia species susceptible to multiple antimicrobials. This dog was treated with topical antiseptic and sulphadimethoxine/ormetoprim (Primor). The swelling improved after one week and the dermatological lesions resolved after three months. Fifteen months after resolution of the nocardiosis infection the dog remains in remission. This is a case report describing the successful medical management of cutaneous nocardiosis in a dog with atopic dermatitis receiving daily oral ciclosporin therapy.

  • Nocardia
  • cyclosporine
  • atopic dermatitis
  • cutaneous nocardiosis

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  • Contributors All authors worked closely together in the management of this clinical case, as well as the development of the manuscript herein.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There is no additional data are available for this paper.

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