Abstract: A 72-year-old male presented with nodules on the right back of the hand and the forearm with swelling and pain for 3 days. Histopathological examination (right forearm) showed epidermal loss, large necrotic tissue in dermis, a large number of neutrophils, lymphocytes and a few nuclear giant cells infiltration. General bacterial culture of right forearm secretions showed  Nocardia asteroids. The diagnosis of Primary (lymphoid type) cutaneous nocardiosis. The patient was treated with piperacillin sodium and sulbactam sodium, fusidic acid cream and the red LED therapy. The patient was improved.

Key words: Nocardia stellata, cutaneous nocardiosis, lymphoid type