title: Actinomycetoma of the scalp after a car accident.
abstract: BACKGROUND
  Actinomycetoma is the most frequent type of mycetoma in Mexico. Localization on the scalp is very rare. Because of this topography and potential spread to the brain, the present case became a diagnostic and therapeutic challenge.
  
  
  METHODS
  We report the case of a 44-year-old woman with a 6 × 5 cm red, friable, granulomatous, vascular neoformation on the scalp and eye diagnosed as Nocardia brasiliensis actinomycetoma.
  
  
  RESULTS
  A combination of amikacin and oral trimethoprim-sulfamethoxazole (SXT) was successfully administered with an excellent outcome and no side effects.
  
  
  CONCLUSIONS
  This is a rare presentation of mycetoma of the scalp that was cured in 12 weeks with a combination of amikacin and SXT.
authors.affiliation: Department of Dermatology, Hospital Universitario Dr Jose E. Gonzalez, Universidad Autónoma de Nuevo León, Monterrey, Mexico. owelsh@yahoo.com
authors.forename: Oliverio
authors.initials: O
authors.lastname: Welsh
authors.forename: Amelia
authors.initials: A
authors.lastname: Morales-Toquero
authors.forename: Lucio
authors.initials: L
authors.lastname: Vera-Cabrera
authors.forename: Lucio
authors.initials: L
authors.lastname: Cabrera-Vera
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Vazquez-Martinez
authors.forename: Minerva
authors.initials: M
authors.lastname: Gómez-Flores
authors.forename: Jorge
authors.initials: J
authors.lastname: Ocampo-Candiani
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D005260:Female; D006801:Humans; D008800:Mexico; D008271:Mycetoma / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D009617:Nocardia Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D012536:Scalp Dermatoses / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination