title: [Actinomycosic mycetoma of the foot in Morocco due to Actinomycetes viscosus].
abstract: We present the case of an actinomycotic mycetoma of the foot due to Actinomycetes viscosus. It evolved for nine years on the foot of a 26-year-old patient from a rural environment: Douar Inezgane (city in southern Morocco). Bacteriological study of the skin and grains confirmed the diagnosis. It showed positive bacilli on direct examination and on Gram staining and in positive culture. Histological study showed a polymorphous granulomatous inflammation without signs of malignancy with actinomycotic grains. Then we retained the diagnosis of primary cutaneous actinomycosis without visceral locations. The treatment was based on antibiotics: penicillin G by intravenous infusion for five weeks, relayed orally by amoxicillin associated with trimethoprim-sulfamethoxazole for long periods. After six months of treatment, we observed a favorable outcome with reduction of the swelling, nodules, lymphadenopathy, fistula's number and extension of time of issue of grains. The current follow up is 15 months. The primary cutaneous actinomycosis is still relevant in Morocco.
authors: Dermatology, Ibn Rochd CHU, route 1029, immeuble 28, numéro 6 Sidi-maarouf, Casablanca, Ain Chock 20270, Maroc. Electronic address: hasna_doc2008@hotmail.fr.
authors: H
authors: H
authors: Baha
authors: Dermatology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: K
authors: K
authors: Khadir
authors: Dermatology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: F
authors: F
authors: Hali
authors: Dermatology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: H
authors: H
authors: Benchikhi
authors: Microbiology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: A
authors: A
authors: Zeghwagh
authors: Microbiology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: K
authors: K
authors: Zerouali
authors: Microbiology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: H
authors: H
authors: Belabbes
authors: Microbiology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: N
authors: N
authors: El Mdaghri
authors: Parasito-mycology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: M A
authors: MA
authors: Soussi
authors: Anatomopathology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: F
authors: F
authors: Marnissi
authors: Parasito-mycology department of UHC Ibn Rushd of Casablanca, Casablanca, Maroc.
authors: F
authors: F
authors: Kadioui
mesh_terms: D016924:Actinomyces viscosus / Q000302:isolation & purification*; D000196:Actinomycosis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005533:Foot Dermatoses / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D008297:Male; D009018:Morocco; D008271:Mycetoma / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
keywords: Actinomycetes viscosus; Actinomycose cutanée primitive; Mycetoma actinomycosic foot; Mycétome actinomycosique du pied; Primitive cutaneous actinomycosis