Introduction:

mycetoma is a chronic inflammatory anatomoclinical syndrome consisting of enlargement, deformation of the affected region and nodular lesions.

Patient information:

it was presented a case of mycetoma of the lower limb caused by Nocardia in a 48-year-old female patient with human immunodeficiency virus, who, after recurrent trauma to both lower limbs, reported to the dermatology office that four years ago he had lesions on his left foot, initially painless nodules that later began with yellowish exudation, moderate pain and inflammation in that area. The anatomopathological and microbiological studies confirmed the presence of the genus Nocardia as the causative agent of actinomycetoma. Antimicrobial therapy with trimethoprim/sulfametosaxol and diaminodiphenyl sulfone was started and total resolution of the lesions was achieved.

Conclusions:

the diagnosis of this disease should be made from an integral perspective taking into account clinical, epidemiological, microbiological, anatomopathological and radiological aspects that contribute to establish the burden of morbidity and mortality caused by this clinical condition.

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