What question did this study set out to answer?

To report an unexpected cutaneous infection caused by Nocardia cyriacigeorgica resembling shingles.

March 13, 2026Case Reports in Infectious Diseases0 citationsOpen Access

An Unusual Case of Cutaneous Nocardia cyriacigeorgica Infection Assuming the Appearance of Shingles

JRJett RamirIllinois College DFDenise Marie A. FranciscoIllinois College

Key Points

To report an unexpected cutaneous infection caused by Nocardia cyriacigeorgica resembling shingles.
Clinical case report of a 69-year-old patient with a history of bilateral lung transplant.
Diagnosis confirmed via culture and 16S rRNA sequencing.
Description of clinical manifestations of the infection.
Patient developed a shingles-like rash due to Nocardia cyriacigeorgica infection.
Diagnosis was challenging due to similarities with a common viral infection.
Successful identification and treatment led to positive outcomes.

Abstract

Nocardia is an opportunistic organism that commonly infects the lungs of the immunocompromised and can cause disseminated infections. Diagnosis of Nocardia cyriacigeorgica is through culture and susceptibilities, aided by 16S rRNA sequencing. We report a case of a shingles‐like rash eruption due to Nocardia cyriacigeorgica in a 69‐year‐old patient with a history of bilateral lung transplant.

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