Madura foot caused by Gordonia terrae misdiagnosed as Nocardia.
Actinomycetomas are soft tissue bacterial infections that are in the differential for unusual masses of the extremities. Typical infectious agents include Actinomyces and Nocardia and are treated with long-term antibiotics. We report a rare case of Gordonia actinomycetoma that was misdiagnosed as Nocardia and subsequently required surgical excision in addition to antibiotic therapy.
Department of Dermatology, Johns Hopkins Hospital, Baltimore, MD, USA.
John G
JG
Zampella
Department of Dermatology, Johns Hopkins Hospital, Baltimore, MD, USA.
Shawn G
SG
Kwatra
Department of Dermatology, Johns Hopkins Hospital, Baltimore, MD, USA.
Najiya
N
Kazi
Department of Dermatology, Johns Hopkins Hospital, Baltimore, MD, USA.
Crystal
C
Aguh
D000193:Actinomycetales Infections / Q000150:complications* / Q000382:microbiology / Q000628:therapy*; D000328:Adult; D003951:Diagnostic Errors; D005260:Female; D005533:Foot Dermatoses / Q000382:microbiology* / Q000628:therapy; D033601:Gordonia Bacterium; D006801:Humans; D008271:Mycetoma / Q000382:microbiology* / Q000628:therapy*; D009617:Nocardia Infections / Q000175:diagnosis

Gordonia terrae
; Madura foot; actinomycetoma