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2014, Number 1

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Rev Cent Dermatol Pascua 2014; 23 (1)

Mycetoma by Nocardia brasiliensis in abdominal region

Padilla DMC, Caballero AM, Martínez GE

Language: Spanish
References: 25
Page: 17-21
PDF size: 229.31 Kb.


ABSTRACT

Mycetoma is an infectious, granulomatous disease that usually affects skin, subcutaneous tissue, and has a predilection for bone. Its etiology involves two types of organisms: fungi, which cause eumycetomas, and actinomycetes, causing actinomycetomas. In Mexico, the most common infection by actinomycetes is due to Nocardia brasiliensis. The most frequent topography is the pelvic limb and foot (42% of all cases). It is characterized by swelling and fistulas draining stringy materials containing the «grain». The diagnosis is made by clinical suspicion confirmed with direct examination and culture. Conventional treatment for actinomycetomas is undertaken with diaminodiphenylsulfone and trimethoprim-sulfamethoxazole, and in severe cases or bone or visceral involvement, amikacin is added. We report the case of a patient with Nocardia brasiliensis mycetoma with topography in the abdominal region, which is infrequent.


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