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Streptomyces bacteremia in a patient with actinomycotic mycetoma
Noyal Mariya Joseph1, Belgode Narasimha Harish, Sujatha Sistla
1Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India. noyaljoseph@yahoo.com
Abstract:
A 29-year-old woman presented with multiple painful swelling with discharging sinuses over the scalp. Histopathological examination of the biopsy tissue was suggestive of actinomycotic mycetoma. Streptomyces spp. was isolated from blood culture. The patient was successfully treated with trimethoprim-sulfamethoxazole and crystalline penicillin. This case is reported because of the rare occurrence of bacteremia by Streptomyces spp. secondary to subcutaneous actinomycotic mycetoma. Moreover, an interesting association between successive two pregnancies and occurrence of mycetoma of the scalp was observed in this case.
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