Actinomadura pelletieri mycetoma--an atypical case with spine and abdominal wall involvement.
We describe a case of mycetoma caused by Actinomadura pelletieri with simultaneous involvement of the spine, abdominal wall and retroperitoneal space in a man who had suffered from 'Madura foot' 10 years earlier. The characteristics of this case were analysed and contextualized among those of other cases of mycetoma caused by other micro-organisms found through a review of the international literature. The rarity of the disease in industrialized countries and its possible atypical presentations may hinder a prompt diagnosis. Culture techniques that allow detection of slow-growing fungi and actinomycetes should be routinely used when dealing with tissue samples from patients from tropical and subtropical regions with chronic granulomatous infections.
AILMI (Associazione Italiana per la Lotta contro le Malattie Infettive), University of Messina, Messina, Italy.|Department of Human Pathology, University of Messina, 98125 Messina, Italy.
Antonio
A
Cascio
Department of Internal Medicine and Medical Therapy, University of Messina, 98125 Messina, Italy.
Giuseppe
G
Mandraffino
Department of Internal Medicine and Medical Therapy, University of Messina, 98125 Messina, Italy.
Maurizio
M
Cinquegrani
Department of Pathology and Experimental Microbiology, University of Messina, 98125 Messina, Italy.
Demetrio
D
Delfino
Department of Internal Medicine and Medical Therapy, University of Messina, 98125 Messina, Italy.
Rossella
R
Mandraffino
Department of Life Sciences, University of Messina, 98166 Messina, Italy.
Orazio
O
Romeo
Department of Life Sciences, University of Messina, 98166 Messina, Italy.
Giuseppe
G
Criseo
Department of Internal Medicine and Medical Therapy, University of Messina, 98125 Messina, Italy.
Antonino
A
Saitta
D034861:Abdominal Wall / Q000473:pathology; D000192:Actinomycetales / Q000235:genetics / Q000302:isolation & purification; D000193:Actinomycetales Infections / Q000175:diagnosis* / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008969:Molecular Sequence Data; D012329:RNA, Bacterial / Q000235:genetics; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D012008:Recurrence; D013131:Spine / Q000473:pathology; D013997:Time Factors
D012329:RNA, Bacterial; D012336:RNA, Ribosomal, 16S