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Mycetoma-like infection caused by previously undescribed bacterium
Archives of Dermatology
|August 1, 1978
Summary
A novel Gram-negative bacterium caused a chronic foot infection. Treatment with co-trimoxazole and topical lactic acid successfully eradicated the infection.
Area of Science:
- Microbiology
- Dermatology
- Infectious Diseases
Background:
- Verrucous plaques with draining abscesses can indicate complex skin infections.
- Chronic or treatment-resistant infections necessitate identification of causative agents.
Observation:
- A 56-year-old male presented with a four-year history of a verrucous plaque and draining abscesses on his foot.
- Cultures identified a previously undescribed Gram-negative bacterium.
Findings:
- The isolated Gram-negative bacterium represents a novel species.
- Successful treatment was achieved using a combination of oral co-trimoxazole (trimethoprim and sulfamethoxazole) and topical 10% lactic acid.
Implications:
- This case highlights the potential for novel bacterial pathogens in chronic dermatological conditions.
- The combination therapy offers a potential treatment strategy for similar infections.
- Further research into this novel bacterium is warranted to understand its pathogenicity and optimal treatment.