Extensive mycetoma in forearm, chest and neck due to Nocardia mexicana.
Humans
Male
Adult
Nocardia
/ isolation & purification
Mycetoma
/ microbiology
Nocardia Infections
/ microbiology
Forearm
/ microbiology
Thorax
/ diagnostic imaging
Neck
/ pathology
Anti-Bacterial Agents
/ therapeutic use
RNA, Ribosomal, 16S
/ genetics
Sequence Analysis, DNA
DNA, Bacterial
/ genetics
Treatment Outcome
Trimethoprim, Sulfamethoxazole Drug Combination
/ therapeutic use
Amikacin
/ therapeutic use
DNA, Ribosomal
/ genetics
Mycetoma
Nocardia mexicana
tropical disease
Journal
Journal of infection in developing countries
ISSN: 1972-2680
Titre abrégé: J Infect Dev Ctries
Pays: Italy
ID NLM: 101305410
Informations de publication
Date de publication:
30 Jun 2024
30 Jun 2024
Historique:
received:
06
03
2023
accepted:
15
02
2024
medline:
11
7
2024
pubmed:
11
7
2024
entrez:
11
7
2024
Statut:
epublish
Résumé
Mycetoma is a chronic granulomatous inflammatory disease of the subcutaneous tissue, which affects deep structures and bone. Most cases of actinomycetoma are caused by members of the genus Nocardia. Here we report the case of a 43-year-old male who presented a disseminated mycetoma on the forearm, chest and neck, characterized by enlarged and erythematous lesions through which seropurulent material drains, and numerous atrophic scars. Molecular identification was performed by 16S gene amplification and sequencing. Nocardia mexicana was identified with 100% identity. Trimethoprim-sulfamethoxazole, diaminodiphenyl sulfone and amikacin was a successful treatment after 6 months. Nocardia mexicana is a rare organism that causes mycetoma. We report a case of extensive mycetoma on the forearm with spread to the neck and thorax associated with manipulation of the mouth of a calf.
Substances chimiques
Anti-Bacterial Agents
0
RNA, Ribosomal, 16S
0
DNA, Bacterial
0
Trimethoprim, Sulfamethoxazole Drug Combination
8064-90-2
Amikacin
84319SGC3C
DNA, Ribosomal
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
978-981Informations de copyright
Copyright (c) 2024 Roberto Arenas, Erika J Damián-Magaña, Karla A Sandoval-Navarro, Balfré Torres-Bibiano, Marina Romero-Navarrete, Luary C Martínez-Chavarría, Juan Xicohtencatl-Cortes, Rigoberto Hernández-Castro.
Déclaration de conflit d'intérêts
No Conflict of Interest is declared