[Actinomycosic mycetoma of the foot in Morocco due to Actinomycetes viscosus].

Abstract:

:We present the case of an actinomycotic mycetoma of the foot due to Actinomycetes viscosus. It evolved for nine years on the foot of a 26-year-old patient from a rural environment: Douar Inezgane (city in southern Morocco). Bacteriological study of the skin and grains confirmed the diagnosis. It showed positive bacilli on direct examination and on Gram staining and in positive culture. Histological study showed a polymorphous granulomatous inflammation without signs of malignancy with actinomycotic grains. Then we retained the diagnosis of primary cutaneous actinomycosis without visceral locations. The treatment was based on antibiotics: penicillin G by intravenous infusion for five weeks, relayed orally by amoxicillin associated with trimethoprim-sulfamethoxazole for long periods. After six months of treatment, we observed a favorable outcome with reduction of the swelling, nodules, lymphadenopathy, fistula's number and extension of time of issue of grains. The current follow up is 15 months. The primary cutaneous actinomycosis is still relevant in Morocco.

journal_name

J Mycol Med

authors

Baha H,Khadir K,Hali F,Benchikhi H,Zeghwagh A,Zerouali K,Belabbes H,El Mdaghri N,Soussi MA,Marnissi F,Kadioui F

doi

10.1016/j.mycmed.2014.10.025

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

76-80

issue

1

eissn

1156-5233

issn

1773-0449

pii

S1156-5233(14)00289-3

journal_volume

25

pub_type

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