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Actinomycetoma Pedis Due to Nocardla Caviae in India
Abstract:
Actinomycetoma pedis due to Nocardia caviae in two male cultivators a Bengalee and a Bihari and a Bengalee housewife are described. In all the cases there was swelling of foot with multiple nodules and discharging sinuses showing protuberant openings and area of fibrosis. The discharging sinuses contained white to cream yellow granules, measuring 100-600 u in size and composed of hyaline cementing matter and gram positive and non acid fast to acid fast branched filaments Nocardia caviae was isolated from the discharge in an 3 cases. Various properties of the isolates are presented. Bone was involved in 2 cases. The infection followed trauma in all the cases. The local soil was the source of infection.
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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