title: Mycetoma of the hand.
abstract: Mycetoma or maduromycosis is a rare chronic granulomatous disease caused by a fungus infection. We report a rare case of mycetoma in the hand; to our knowledge this is the first report in the United States of mycetoma caused by Nocardia asteroides. The patient had had 2 years of chronic drainage and edema of the left hand after a penetrating injury sustained in the shipyards. After surgical debridement he was treated with co-triamazole, 1 tablet orally four times a day for 6 months. The chronic drainage has ceased but most of his wrist and hand joint movements are restricted.
authors.affiliation: Department of Plastic Surgery, Tulane University School of Medicine, New Orleans, La 70124.
authors.forename: R E
authors.initials: RE
authors.lastname: Martinez
authors.forename: S
authors.initials: S
authors.lastname: Couchel
authors.forename: W M
authors.initials: WM
authors.lastname: Swartz
authors.forename: M B
authors.initials: MB
authors.lastname: Smith
mesh_terms: D006225:Hand; D006801:Humans; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000628:therapy; D009617:Nocardia Infections / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy; D009616:Nocardia asteroides; D011859:Radiography