Mycetoma due to Nocardia brasiliensis (Maduromycosis) in the Mixteca Poblana: Case report with successful treatment

The case of a Mexican patient of the Mixteca Poblana, Region until today little studied, dedicated to domestic work with a skin infection caused by Nocardia brasiliensis, which evolved favorably despite taking more than 8 years with the injury is presented. The diagnosis was made by direct examination and culture of the specimen. The mycetoma is a progressive chronic localized infection caused by fungi or bacteria that affects the feet, upper limbs or back. The symptoms of the case include: edema, fistuous formation. The diagnosis is clinical, confirmed with microscopic examination of exudate and culture. The treatment consists of antibiotics for a long time 21 days central intensive phase and one year with supportive treatment orally and locally.