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Colegio de Medicina Interna de México.
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2018, Number 1

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Med Int Mex 2018; 34 (1)

Thoracic actinomycetoma with lung compromise. Treatment with carbapenem and aminoglycoside

Ibarra-Morales D, Quiroz-García AC, Gutiérrez G, Arellano-Mendoza MI, Bonifaz A
Full text How to cite this article

Language: Spanish
References: 10
Page: 136-141
PDF size: 360.41 Kb.


Key words:

Thoracic mycetoma, Pulmonary actinomycetoma, Nocardiosis, Imipenem, Surgery.

ABSTRACT

Actinomycetoma is a chronic, granulomatous and progressive infection of the skin and subcutaneous cellular tissue that affects the lower limbs and especially the feet, characterized by triad of localized swelling, draining sinuses and grains. The chest condition in Mexico ranks second in frequency. Nevertheless, pulmonary affectation is very rare with less than 1%, this can occur by continuity affecting the trunk leading to prolonged antimicrobial therapy and lack of attachment to it, as well as increased mortality. The aim of this paper is to report a case of pulmonary actinomycetoma as well as response to treatment with carbapenems, aminoglycoside and trimethoprim with sulfamethoxazole.


REFERENCES

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  9. Welsh O, Sauceda E, Gonzalez J, Ocampo J. Amikacin alone and in combination with trimethoprim-sulfamethoxazole in the treatment of actinomycotic mycetoma. J Am Acad Dermatol 1987;17:443-48.

  10. Fuentes A, Arenas R, Reyes M, Fernández R, Zacarías R. Actinomicetoma por Nocardia sp: Informe de cinco casos tratados con imipenem solo o combinado con amikacina. Gac Méd Méx 2006;142:247-252.




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Med Int Mex. 2018;34