PDF(Pubmed)
Abstract：
Nocardial mycetoma is a neglected tropical disease reported worldwide, especially in tropical and subtropical regions. It is ubiquitous in nature and is a soil-borne, gram-positive, filamentous, aerobic bacteria with acute angle branching. Traumatic inoculation in endemic areas is the primary mode of infection of this debilitating disease. The clinical triad of tumefaction, draining sinus, and pus discharge with granules is very much characteristic and specific for clinching the diagnosis of mycetoma. However, the painless nature of the primary skin lesion often makes the patient present late to the clinician, often in the advanced stages of the disease. Here, we present a very intriguing case report of a young female patient who presented with a single neck nodule but was later diagnosed as a case of nocardial mycetoma. Timely diagnosis and initiation of therapy proved to be a boon for the patient with almost complete recovery within a few weeks in the form of healed skin lesions and insignificant scarring.
摘要：
心肌肌瘤是全球报道的一种被忽视的热带病，尤其是在热带和亚热带地区。它在自然界中无处不在，是一种土壤传播的，革兰氏阳性,丝状的,具有锐角分支的需氧菌。在流行地区进行创伤接种是这种使人衰弱的疾病的主要感染方式。临床三联症，引流窦,颗粒脓液对诊断菌丝瘤有很大的特征性和特异性。然而,原发性皮肤病变的无痛性常常使患者出现在临床医生面前。通常处于疾病的晚期。这里,我们提供了一个非常有趣的病例报告，其中有一个年轻的女性患者，他出现了一个单一的颈部结节，但后来被诊断为门心肌瘤。及时诊断和开始治疗被证明是患者的福音，在几周内以皮肤损伤愈合和疤痕不明显的形式几乎完全恢复。
