PDF(Pubmed)
Abstract：
Mycetoma, a chronic subcutaneous infection caused by bacterial or fungal species from soil and water, presents a diagnostic challenge due to its rarity and diverse clinical manifestations. Predominantly affecting male workers in endemic regions, mycetoma typically manifests as painless swelling evolving into purulent lesions with draining sinuses in the extremities. Although historically uncommon in regions like North America, rising immigration and international travel have led to an increased prevalence, necessitating heightened clinical suspicion. Early diagnosis is crucial to prevent severe complications such as limb loss and septicemia. This case report details the diagnosis and management of chronic actinomycetoma due to Nocardia spp. in a Guatemalan immigrant landscaper and emphasizes the importance of comprehensive understanding and timely intervention in mycetoma cases.
摘要：
Mycetoma,由土壤和水中的细菌或真菌引起的慢性皮下感染，由于其稀有性和多样化的临床表现，提出了诊断挑战。主要影响流行地区的男性工人，肌瘤通常表现为无痛性肿胀，演变为化脓性病变，四肢有引流窦。尽管在北美等地区历史上并不常见，移民和国际旅行的增加导致了患病率的增加，需要加强临床怀疑。早期诊断对于预防严重并发症如肢体丧失和败血症至关重要。该病例报告详细介绍了诺卡氏菌属慢性放线菌瘤的诊断和治疗。在危地马拉移民园艺师，并强调全面了解和及时干预霉菌瘤病例的重要性。
