Actinomycetoma Pedis Due to Nocardla Caviae in India

Insights

Actinomycetoma pedis, a fungal infection of the foot, was diagnosed in three individuals due to Nocardia caviae. This soil-borne bacterial infection, often following trauma, presents with foot swelling and discharging sinuses.

Area of Science:

  • Medical Mycology
  • Bacteriology
  • Dermatology

Background:

  • Actinomycetoma pedis is a chronic subcutaneous infection.
  • Nocardia species are known causative agents of mycetoma.
  • This study focuses on Nocardia caviae as a pathogen.

Observation:

  • Three cases of actinomycetoma pedis are presented.
  • Patients exhibited foot swelling, nodules, and discharging sinuses.
  • Granules within sinuses contained Nocardia caviae filaments.

Findings:

  • Nocardia caviae was isolated from all three patients.
  • Bone involvement occurred in two cases.
  • Infection followed trauma, with local soil identified as the source.

Implications:

  • Highlights Nocardia caviae as a cause of mycetoma pedis.
  • Emphasizes the role of trauma and soil exposure.
  • Informs diagnosis and treatment strategies for mycetoma.

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