Mycetoma due to Nocardia brasiliensis (Maduromycosis) in the Mixteca Poblana: Case report with successful treatment

Guadalupe Ramírez Guevara * and Guillermo Muñoz Zurita

Academia de Calidad de la atención Médica y seguridad del paciente Facultad de Medicina, Benemérita Universidad Autónoma de Puebla, Puebla, Puebla, México.
 
Case Study
World Journal of Advanced Research and Reviews, 2023, 20(01), 393–399
Article DOI: 10.30574/wjarr.2023.20.1.1614
 
Publication history: 
Received on 01 July 2023; revised on 03 October 2023; accepted on 06 October 2023
 
Abstract: 
The case of a Mexican patient of the Mixteca Poblana, Region until today little studied, dedicated to domestic work with a skin infection caused by Nocardia brasiliensis, which evolved favorably despite taking more than 8 years with the injury is presented. The diagnosis was made by direct examination and culture of the specimen. The mycetoma is a progressive chronic localized infection caused by fungi or bacteria that affects the feet, upper limbs or back. The symptoms of the case include: edema, fistuous formation. The diagnosis is clinical, confirmed with microscopic examination of exudate and culture. The treatment consists of antibiotics for a long time 21 days central intensive phase and one year with supportive treatment orally and locally. 
 
Keywords: 
Mycetoma; Nocardiosis; Mixteca Poblana
 
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