title: Head actinomycetoma with a double aetiology, caused by Nocardia brasiliensis and N. asteroides.
abstract: We describe a 64-year-old man with an actinomycetoma of the frontal region of the head caused simultaneously by two aetiological agents, Nocardia brasiliensis and N. asteroides. This case is presented due to the unusual body site affected and, above all, because two aetiological agents were isolated.
authors.affiliation: Hospital Juan Graham SS Mexico City, Mexico.
authors.forename: N
authors.initials: N
authors.lastname: Soto-Mendoza
authors.forename: A
authors.initials: A
authors.lastname: Bonifaz
mesh_terms: D000193:Actinomycetales Infections / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D003622:Dapsone / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005148:Facial Dermatoses / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009288:Naproxen / Q000627:therapeutic use; D009615:Nocardia / Q000145:classification / Q000302:isolation & purification*; D009616:Nocardia asteroides / Q000302:isolation & purification; D016312:Treatment Refusal; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D009288:Naproxen; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D003622:Dapsone