medigraphic.com
ISSN 1561-3100 (Print)

2022, Number 2

<< Back Next >>

Revista Cubana de Ortopedia y Traumatología 2022; 36 (2)

Nocardia asteroids mycetoma

Nápoles PM, Fernández CAA, Bacallao PY, Rondón GOV, Marrero RLO, Sánchez NEO

Language: Spanish
References: 11
Page: 1-16
PDF size: 516.42 Kb.


ABSTRACT

Introduction: In 1860, Henry Van Carter introduced the definition of mycetoma and since 1884 the first cases have been reported in Africa (Sudan, Senegal). These infections affect the skin, the subcutaneous cellular tissue and, sometimes, the muscles, the bones, and it can spread throughout the thoracic cavity, the abdominal cavity, and other regions of the body.
Objective: To report a case of mycetoma due to nocardia asteroides with unfavorable evolution and treatment.
Case report: We report the case of a 47-year-old male patient who suffered a left knee trauma 18 years ago with an avulsive wound and unfavorable evolution due to infection. Ten years later, he presented, in the same site, multiple fistulous lesions with active drainage, scant serohematic, non-fetid secretion. On several occasions he was taken to the operating room for surgical debridement and toilette and he received multiple antibiotic and antifungal treatments. The case was concluded as a mycetoma. Nocardia asteroides was isolated. The patient disagreed with limb amputation as definitive surgical treatment. He came to our treatment center in October 2020 with poor general condition and severe extension of the infectious process throughout the limb. A hemipelvectomy was planned as definitive treatment, but unfortunately the patient deceased before due to general complications.
Conclusions: Before the appearance of mycetoma, it is important to define the extent of the infection to determine the type of treatment to use, since it can save the patient's life if properly used and in a timely manner without leaving serious sequelae.


REFERENCES

  1. Serrano JA, Sandoval AA. El micetoma. revisión. Rev. Soc. Ven. Microbiol. 2003 [acceso 08/03/2021];23(1):70-9. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S1315-25562003000100016&lng=es1.

  2. Ferrer Pérez A, Ramos Valdés J, Marrero PA, Figueroa Valdés M. Eumicetoma como tumoración en la pierna. Acta Médica del Centro. 2019 [acceso 08/03/2021];13(4):616-23. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/11452.

  3. Filippi NJ, Quezada SF, Lagos LM, García CP. Micetoma por Actinomadura madurae en el pie. Reporte de un caso en Chile. Rev Méd Chile. 2008 [acceso 08/03/2021];136:1448-52. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872008001100011&lng=es&nrm=iso&tlng=es3.

  4. Santana Téllez TN, Morales Sotolongo N, Olazábal Rodríguez D, Águila Grandez A. Micetoma. Reporte de un caso. Archivo Médico de Camagüey. 2007 [acceso 08/03/2021];11(6). Disponible en: https://www.redalyc.org/articulo.oa?id=2111180530124.

  5. Lavalle PA. Micetomas: concepto, nomenclatura, clasificación y diferenciación. Resumenes del II Simp. Int. de Micetomas Taxco Gro. México: 1987 [acceso 08/03/2021]. Disponible en: https://www.ve.scielo.org/scielo.php?script=sci_nlinks&ref=1958743&pid=S1315-2556200300010001600037&lng=es5.

  6. Jerez R, Schafer F, Fich F, García P, León P, González S. Micetoma actinomicótico por Actinomadura madurae. Rev Chilena Infectol. 2012 [acceso 08/03/2021];29(4):459-63. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182012000400018&lng=es&nrm=i.p&tlng=es6.

  7. González AP, Cona TE. Nocardia asteroides. Rev Chil Infect. 2006 [acceso 08/03/2021];23(4):359. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0716-10182006000400011&lng=es&nrm=iso&tlng=es7.

  8. Ferrer NR, Yera Pérez J, Rondón García OV. Micetoma. Presentación de un caso. Rev Cubana Ortop Traumatol. 2001 [acceso 08/03/2021];15(1-2):74-8. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-215X2001000100015&lng=es&nrm=iso&tlng=es8.

  9. Venkatswami S, Sankarasubramanian A, Subramanyam S. The Madura foot: looking deep. Int J Low Extrem Wounds. 2012 [acceso 08/03/2021];11(1):31-42. Disponible en: https://journals.sagepub.com/doi/full/10.1177/1534734612438549#abstract9.

  10. Tilak R, Singh S, Garg A, Bassi J, Tilak V, Gulati AK. A case of Actynomicotic Mycetoma involving the right foot. J Infect Dev Ctries. 2009 [acceso 08/03/2021];3(1):71-3. Disponible en: https://jidc.org/index.php/journal/article/view/1974945210.

  11. Suodbakhsh A, Soleimani A, Emadi H. Photoclinic Actinomycetoma. Arch Iran Med. 2011 [acceso 08/03/2021];14(4):299-300. Disponible en: http://www.aimjournal.ir/Article/19411.




2020     |     www.medigraphic.com