title: Mycetoma caused by Nocardia madurae.
abstract: Actinomycotic mycetoma was diagnosed in a woman from Jamaica living in Ontario. This is the first case reported in Canada in which the infection was caused by Nocardia madurae. Despite oral therapy with trimethoprim-sulfamethoxazole, local excision of newly appearing nodules was required periodically for clinical improvement. Laboratory procedures were modified to aid in identification of pathogenic actinomycetes.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008271:Mycetoma / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D009615:Nocardia / Q000302:isolation & purification; D009864:Ontario; D013420:Sulfamethoxazole / Q000627:therapeutic use; D014295:Trimethoprim / Q000627:therapeutic use
chemical_list: D014295:Trimethoprim; D013420:Sulfamethoxazole