[Mycetomas with pulmonary dissemination].
Three mycetoma cases with pulmonary dissemination are presented. Two of them caused by N. brasiliensis and one by N. asteroides. The dissemination in one of them was by contiguity and the two other by hematogenous way. We point out the sequence of treatments used, emphasizing the excellent therapeutic result achieved with the association of sulfamethoxazole-trimethoprim and amikacin endovenously. We propose a therapeutic trial in a greater number of severe cases of mycetoma with the last antibiotic association in order to evaluate its therapeutic efficacy.
D000284:Administration, Oral; D000328:Adult; D000583:Amikacin / Q000008:administration & dosage / Q000627:therapeutic use*; D004338:Drug Combinations / Q000008:administration & dosage / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006801:Humans; D007275:Injections, Intravenous; D007612:Kanamycin / Q000031:analogs & derivatives*; D008172:Lung Diseases, Fungal / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000188:drug therapy* / Q000473:pathology; D009617:Nocardia Infections / Q000188:drug therapy* / Q000473:pathology; D011859:Radiography; D013420:Sulfamethoxazole / Q000008:administration & dosage / Q000627:therapeutic use*; D014295:Trimethoprim / Q000008:administration & dosage / Q000627:therapeutic use*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
D004338:Drug Combinations; D007612:Kanamycin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000583:Amikacin; D014295:Trimethoprim; D013420:Sulfamethoxazole
Micetomas con diseminación pulmonar.