Cervicofacial nocardiosis in an immunocompetent child: A case report and updated review of the literature

We describe a case of cervicofacial lymphocutaneous infection in an immunocompetent 2-year-old child, found to be due to Nocardia brasiliensis. The child was initially admitted with left nasolabial phlegmon that failed to improve after discharge despite appropriate medical management. She was shortly re-admitted with a new submental phlegmon and intra-parotid and submandibular necrotic lymphadenopathy. After diagnosis of primary cutaneous nocardiosis, she was observed on antibiotics with eventual resolution after 3 months of treatment. Although described in the literature, pediatric cervicofacial nocardiosis is a rare entity and should be included in the differential due to differences in clinical management.