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Mycetoma caused by Streptomyces sudanensis
Maria Alessandra Mattioli1, Elisa Cinotti2, Pietro Rubegni2
1Department of Pathophysiology and Transplantation, Università degli Studi, IRCCS Foundation, Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Introduction:
Mycetomas are deep, chronic skin infections caused by bacteria or fungi.
Case Presentation:
We report the case of an adult male patient with mycetoma caused by Streptomyces sudanensis located on the foot. The patient was treated with i.m. gentamicin (80 mg/day) for six weeks, followed by three-week stop period. A total of eight courses six-week courses of gentamicin therapy, each followed by a three-week stop period, were completed. The patient is still undergoing treatment with the same regimen.
Conclusions:
Pulsed therapy may be considered in the management of mycetoma in order to prevent the development of resistance.
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