Mycetoma fungal infection: multiple organisms as colonizers or pathogens?
We describe a patient with mycetoma or Madura foot, in which histopathological stains of the bone and surface cultures suggested three different organisms including Nocardia species as the cause. Criteria for the diagnosis of the organisms, differentiation between colonizer and pathogen, and significance of mixed infections are discussed.
Pilsczek
Florian H
FH
Division of Infectious Disease, SUNY Downstate Medical Center, Brooklyn, New York, USA. f.h.pilsczek@gmail.com
Augenbraun
Michael
M
D000890:Anti-Infective Agents / Q000627:therapeutic use; D002908:Chronic Disease; D004318:Doxycycline / Q000627:therapeutic use; D005533:Foot Dermatoses / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D007868:Leg Dermatoses / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D004318:Doxycycline