[Mycetomas with pulmonary dissemination]

Three mycetoma cases with pulmonary dissemination are presented. Two of them caused by N. brasiliensis and one by N. asteroides. The dissemination in one of them was by contiguity and the two other by hematogenous way. We point out the sequence of treatments used, emphasizing the excellent therapeutic result achieved with the association of sulfamethoxazole-trimethoprim and amikacin endovenously. We propose a therapeutic trial in a greater number of severe cases of mycetoma with the last antibiotic association in order to evaluate its therapeutic efficacy.