A case of nocardia mycetoma occurring at the site of skin grafting
Journal Title: Nasza Dermatologia Online - Year 2011, Vol 2, Issue 4
Abstract
Mycetomas are chronic infections of the skin, subcutaneous tissue and deeper tissues caused by fungi or filamentous bacteria and are characterized by tumefaction, nodules and sinuses. Eumycetomas are caused by fungi and actinomycetomas are caused by filamentous bacteria. Bacteria causing actinomycetomas are saprophytes found in soil, on plants, and on dead and decaying matter. They are aerobic, gram positive and weakly acid fast and form aggregates of micro colonies that appear as grains in the sinuses. Clinically, mycetomas present as areas of tumefaction with nodules and discharging sinuses. Bacterial mycetomas are sensitive to many antibiotics like penicillin, tetracyclines, sulphonamides, rifampcin, aminoglycocides etc, and long term combination therapies with variable success have been reported from different parts of the world. We have presented here a 23 year old male patient who presented with one year history of developing nodules and sinuses in the region of left flank. Patient had undergone skin grafting at the same site 3 years back for a wound he developed in the area following a road accident. He was unsuccessfully treated with antituberculous therapy elsewhere. He was admitted in our institute; the diagnosis of nocardia mycetoma was established and patient was successfully treated with complete clearance of lesions.
Authors and Affiliations
Hosahalli Yogeesh, Sujatha Chankramath, Seema Srinivasa, Raja Rajendran, Poornima Shenoy
Keywords
Related Articles
- EP ID EP102976
- DOI -
- Views 101
- Downloads 0
Localised nasal actinic porokeratosis: An independent subtype of porokeratosis?
Porokeratosis (PK) are a group of keratinizing disorders clinically characterized by atrophic plaques with peripheral hyperkeratotic ridge which gradually spread in a centrifugal manner. The sites of predilection are tru...
Scleredema adultorum of Buschke in a child confirmed by special stains
-
Atopic dermatitis in children: Epidemiological and clinical aspects in Côte d'Ivoire
Few studies have been devoted to atopic dermatitis in children in sub-Saharan Africa. We therefore make this study in Côte d’Ivoire in order to contribute to a better knowledge of atopic dermatitis in children on black s...
Forme mixte de gale grave sur terrain de depigmentation cosmetique volontaire: A propos d’un cas au Centre Hospitalier Universitaire (CHU) de Parakou (Benin)
Severe forms of scabies are rare. They are more contagious, posing a public health problem during an epidemy in institution. The magnitude of the depigmenting cosmetic practice, a true phenomenon of society today, is at...
Vitiligo on tribal mark: A demostration of Wolf’s isotopic response
Background: Wolf’s isotopic response is the development of new lesions on old scar. Although this phenomenon is uncommon, most of the reported cases have been associated with development new lesions on the previously hea...