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Actinomadura Pelle171eri Causing White Grain Mycetoma

V V Pankajalakshmi, V V Taralakshmi

    Indian Journal of Dermatology, Venereology and Leprology
    |February 9, 2017
    PubMed

    Insights

    A case of white grain mycetoma pedis caused by Actinomadura pelletieri in a farmer is presented. The infection manifested as foot swelling, nodules, and sinuses with characteristic dirty white grains.

    Area of Science:

    • Medical Mycology
    • Infectious Diseases
    • Dermatology

    Background:

    • Mycetoma pedis is a chronic granulomatous infection of the foot.
    • Actinomadura pelletieri is a rare bacterial genus causing mycetoma.

    Observation:

    • A 32-year-old farmer presented with a swollen, painless right foot.
    • The foot exhibited nodules that evolved into sinuses discharging seropurulent fluid.
    • Discharge contained dirty white grains (0.5-1 mm) of unfragmented bacterial filaments.

    Findings:

    • Histologic examination confirmed the characteristic granule of Actinomadura pelletieri.
    • Bacterial culture yielded typical coral red colonies, aiding in diagnosis.

    Implications:

    • This case highlights Actinomadura pelletieri as a causative agent of mycetoma pedis.
    • Early diagnosis and identification are crucial for effective management of mycetoma.
    • Understanding the clinical presentation aids in recognizing this rare infection.

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