Disseminated Nocardia asteroides with pustules

A case of disseminated Nocardia asteroides in a renal transplant recipient with cavitary lung lesions and cutaneous pustules is presented. Disseminated nocardiosis is a rare disease that occurs chiefly in the immunocompromised host and usually begins as a pleuropulmonary infection. Disseminated nocardiosis should be included in the differential diagnosis of pustules in immunosuppressed patients.