Isolation of both Sporothrix schenckii and Nocardia asteroides from a mycetoma of the forefoot.
Mycetoma is a localized primary subcutaneous infection due to fungi (eumycetoma) or aerobic actinomycetes (actinomycetoma). We report a patient who acquired an implantation infection on the forefoot following a motorcycle accident in Crete. Both Sporothrix schenckii and Nocardia asteroides were isolated simultaneously from the lesion. Under combined therapy with itraconazole and trimethoprim-sulphamethoxazole for 7 months the lesion healed completely. A combination of causative organisms in mycetomas is rare, and the combination of S. schenckii and N. asteroides together has not been reported from one lesion.
Pelzer
K
K
Department of Dermatology, Medical Faculty (Charité), Humboldt-University Berlin, Schumannstrasse 20/21, 10117 Berlin, Germany.
Tietz
H J
HJ
Sterry
W
W
Haas
N
N
D000368:Aged; D004322:Drainage; D005533:Foot Dermatoses / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008271:Mycetoma / Q000382:microbiology* / Q000601:surgery; D009617:Nocardia Infections / Q000382:microbiology* / Q000601:surgery; D009616:Nocardia asteroides / Q000302:isolation & purification*; D013175:Sporothrix / Q000302:isolation & purification*