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

Authors

  • Roberto Arenas Sección de Micología. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México
  • Erika J Damián-Magaña Sección de Micología. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México https://orcid.org/0000-0002-8620-4164
  • Karla A Sandoval-Navarro Sección de Micología. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México https://orcid.org/0000-0002-6942-3293
  • Balfré Torres-Bibiano Facultad de Medicina. Universidad Autónoma de Guerrero, 39610 Guerrero, México
  • Marina Romero-Navarrete Departamento de Dermatología. Hospital General de Acapulco, 39670 Guerrero, México
  • Luary C Martínez-Chavarría Departamento Patología, Facultad de Medicina Veterinaria y Zootecnia, Universidad Nacional Autónoma de México, Coyoacán 04510, Ciudad de México, México
  • Juan Xicohtencatl-Cortes Laboratorio de Bacteriología Intestinal, Hospital Infantil de México Dr. Federico Gómez, Cuauhtémoc 06720, México
  • Rigoberto Hernández-Castro Departamento de Ecología de Agentes Patógenos. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México https://orcid.org/0000-0002-5656-0942

DOI:

https://doi.org/10.3855/jidc.18182

Keywords:

Mycetoma, Nocardia mexicana, tropical disease

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.

Author Biographies

Roberto Arenas, Sección de Micología. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México

Sección de Micología

Head of department

Erika J Damián-Magaña, Sección de Micología. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México

MD 

Mycology Section

Karla A Sandoval-Navarro, Sección de Micología. Hospital General “Dr. Manuel Gea González”, Tlalpan 14080. México City, México

MD

Mycology section

Balfré Torres-Bibiano, Facultad de Medicina. Universidad Autónoma de Guerrero, 39610 Guerrero, México

MD, Dermatologist

Professor at medicine school in Universidad Autonoma de Guerrero

Marina Romero-Navarrete, Departamento de Dermatología. Hospital General de Acapulco, 39670 Guerrero, México

MD

Dermatologist in poor communities

Luary C Martínez-Chavarría, Departamento Patología, Facultad de Medicina Veterinaria y Zootecnia, Universidad Nacional Autónoma de México, Coyoacán 04510, Ciudad de México, México

DVM, MSc and PhD

Head of Department

Pathology Department. Facultad de Medicina Veterinaria y Zootecnia

 

Juan Xicohtencatl-Cortes, Laboratorio de Bacteriología Intestinal, Hospital Infantil de México Dr. Federico Gómez, Cuauhtémoc 06720, México

PhD

Head of Laboratory

5Laboratorio de Bacteriología Intestinal

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Published

2024-06-30

How to Cite

1.
Arenas R, Damián-Magaña EJ, Sandoval-Navarro KA, Torres-Bibiano B, Romero-Navarrete M, Martínez-Chavarría LC, Xicohtencatl-Cortes J, Hernández-Castro R (2024) Extensive mycetoma in forearm, chest and neck due to Nocardia mexicana. J Infect Dev Ctries 18:978–981. doi: 10.3855/jidc.18182

Issue

Section

Case Reports