2009
DOI: 10.1007/s11046-009-9189-5
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Actinomycetoma in Arm Disseminated to Lung with Grains of Nocardia brasiliensis with Peripheral Filaments

Abstract: Actinomycetomas represent 97.8% of mycetomas in Mexico, where 86.6% are produced by Nocardia brasiliensis. We report a case of actinomycetoma in the arm by Nocardia brasiliensis disseminated to lung. Uncommon grains were observed which present outside peripheral filaments and also numerous filaments loosing the grains. These characteristics of the grains are due probably because for the long treatment with antibiotics of the patient. In situ antibiotic action against the microcolonies is discussed.

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Cited by 8 publications
(8 citation statements)
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“…While working on this manuscript we conducted an extensive image search looking for histolopathological samples of human pulmonary nocardiosis due to Nocardia brasiliensis to directly compare with our findings but we were unsuccessful, none seem to be documented. However, one report of an invasive N. brasiliensis infection of the skin with pulmonary involvement showed lesions extremely similar to the ones we show in this manuscript [19]. Additionally, granulomas due to other Nocardia spp.…”
Section: Discussionsupporting
confidence: 87%
“…While working on this manuscript we conducted an extensive image search looking for histolopathological samples of human pulmonary nocardiosis due to Nocardia brasiliensis to directly compare with our findings but we were unsuccessful, none seem to be documented. However, one report of an invasive N. brasiliensis infection of the skin with pulmonary involvement showed lesions extremely similar to the ones we show in this manuscript [19]. Additionally, granulomas due to other Nocardia spp.…”
Section: Discussionsupporting
confidence: 87%
“…However, one report of an invasive N . brasiliensis infection of the skin with pulmonary involvement showed lesions extremely similar to the ones we show in this manuscript [ 19 ]. Additionally, granulomas due to other N ocardia spp .…”
Section: Discussionsupporting
confidence: 82%
“…(55) When the lung is affected, the aspect is of consolidation with necrosis, and pleural effusion can be seen. (56) Mycetoma generally affects agriculturists and is endemic in Latin America, India and Africa. (20,57) Mycetoma is not a colonization of a preexisting pulmonary cavity; therefore, the use of this term as a synonym for "fungus ball" should be avoided.…”
Section: Mycetoma (Micetoma)mentioning
confidence: 99%