Isolation of both Sporothrix schenckii and Nocardia asteroides from a mycetoma of the forefoot

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Mycetoma is a localized primary subcutaneous infection due to fungi (eumycetoma) or aerobic actinomycetes (actinomycetoma). We report a patient who acquired an implantation infection on the forefoot following a motorcycle accident in Crete. Both Sporothrix schenckii and Nocardia asteroides were isolated simultaneously from the lesion. Under combined therapy with itraconazole and trimethoprim–sulphamethoxazole for 7 months the lesion healed completely. A combination of causative organisms in mycetomas is rare, and the combination of S. schenckii and N. asteroides together has not been reported from one lesion.

Keywords: Nocardia asteroides; Sporothrix schenckii; mycetoma

Document Type: Research Article


Affiliations: Department of Dermatology, Medical Faculty (Charité), Humboldt-University Berlin, Schumannstrasse 20/21, 10117 Berlin, Germany

Publication date: December 1, 2000

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