Primary cutaneous nocardiosis can present as cellulitis or abscess with or
without lymphadenitis, In South Texas children with suspected Staphylococcu
s aureus or Streptococcus pyogenes skin and soft tissue infections who do n
ot improve as expected with appropriate antibiotics, physicians should cons
ider Nocardia brasiliensis in the differential diagnosis, especially if the
re are multiple lesions in a lymphocutaneous distribution.