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Extensive mycetoma in forearm, chest and neck due to Nocardia mexicana. | LitMetric

AI Article Synopsis

  • - Mycetoma is a chronic inflammatory disease affecting subcutaneous tissues and sometimes bones, often caused by bacteria from the genus Nocardia.
  • - A 43-year-old male presented with extensive mycetoma lesions on his forearm, chest, and neck, showing signs such as erythema and draining pus, diagnosed through genetic sequencing which identified Nocardia mexicana.
  • - Successful treatment with a combination of antibiotics was achieved after six months, and the case suggests that Nocardia mexicana can spread through contact with animals, as it was linked to the patient’s manipulation of a calf.

Article Abstract

Introduction: 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.

Case Presentation: 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.

Conclusions: 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.

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Source
http://dx.doi.org/10.3855/jidc.18182DOI Listing

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