title: Streptomyces bacteremia in a patient with actinomycotic mycetoma.
abstract: A 29-year-old woman presented with multiple painful swelling with discharging sinuses over the scalp. Histopathological examination of the biopsy tissue was suggestive of actinomycotic mycetoma. Streptomyces spp. was isolated from blood culture. The patient was successfully treated with trimethoprim-sulfamethoxazole and crystalline penicillin. This case is reported because of the rare occurrence of bacteremia by Streptomyces spp. secondary to subcutaneous actinomycotic mycetoma. Moreover, an interesting association between successive two pregnancies and occurrence of mycetoma of the scalp was observed in this case.
authors.affiliation: Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India. noyaljoseph@yahoo.com
authors.forename: Noyal Mariya
authors.initials: NM
authors.lastname: Joseph
authors.forename: Belgode Narasimha
authors.initials: BN
authors.lastname: Harish
authors.forename: Sujatha
authors.initials: S
authors.lastname: Sistla
authors.forename: Devinder Mohan
authors.initials: DM
authors.lastname: Thappa
authors.forename: Subhash Chandra
authors.initials: SC
authors.lastname: Parija
mesh_terms: D000193:Actinomycetales Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D001769:Blood / Q000382:microbiology; D005260:Female; D006801:Humans; D008271:Mycetoma / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology* / Q000473:pathology; D010406:Penicillins / Q000627:therapeutic use; D012852:Sinusitis / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D017192:Skin Diseases, Bacterial / Q000150:complications / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology; D013302:Streptomyces / Q000302:isolation & purification*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins; D015662:Trimethoprim, Sulfamethoxazole Drug Combination