Actinomycetoma of the Hand Caused by Nocardia asteroides

The authors report a case of actinomycetoma of the hand acquired in the United States where N. asteroides was the etiologic agent, rather than the more commonly found N. brasiliensis . They successfully treated the patient by using a short course of intravenous therapy with amikacin and trimethoprim...

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Veröffentlicht in:	The Journal of infectious diseases 1988-07, Vol.158 (1), p.244-246
Hauptverfasser:	Carlisle, Joseph Taylor, Greer, Donald L., Hyslop, Newton E.
Format:	Artikel
Sprache:	eng
Schlagworte:	Amikacin - therapeutic use Correspondence Coxsackievirus Infections - etiology Drug Combinations Hand - microbiology Hands Humans Infectious diseases Lesions Maduromycosis Male Medical cures Medical treatment Middle Aged Mycetoma - drug therapy Mycetoma - etiology Mycetoma - microbiology Nocardia Nocardia asteroides Nocardia asteroides - isolation & purification Nocardia Infections - drug therapy Nocardia Infections - microbiology Pseudomonas Sulfamethoxazole - therapeutic use Sulfonamides Trimethoprim - therapeutic use Trimethoprim, Sulfamethoxazole Drug Combination
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Beschreibung
Zusammenfassung:	The authors report a case of actinomycetoma of the hand acquired in the United States where N. asteroides was the etiologic agent, rather than the more commonly found N. brasiliensis . They successfully treated the patient by using a short course of intravenous therapy with amikacin and trimethoprim-sulfamethoxazole (TMP-SMZ) followed by a prolonged oral regimen with TMP-SMZ alone.
ISSN:	0022-1899 1537-6613
DOI:	10.1093/infdis/158.1.244