<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272023000200340</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Micetoma. Informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Mycetoma, case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arbolaez Goicochea]]></surname>
<given-names><![CDATA[María Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Cruz]]></surname>
<given-names><![CDATA[Yurexis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salina Fernández]]></surname>
<given-names><![CDATA[Damarys Nuria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Policlínico Docente &#8220;Camilo Cienfuegos&#8221;  ]]></institution>
<addr-line><![CDATA[Habana del Este La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Norte Docente &#8220;Oscar Alberto Ortega Ortega&#8221;  ]]></institution>
<addr-line><![CDATA[Palma Soriano Santiago de Cuba]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>340</fpage>
<lpage>348</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272023000200340&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272023000200340&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272023000200340&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el micetoma es un síndrome anatomoclínico de tipo inflamatorio crónico constituido por aumento de volumen, deformación de la región que afecta y lesiones de aspecto nodular.  Información del paciente:  se presentó un caso de micetoma de miembro inferior causado por Nocardia en una paciente con virus inmunodeficiencia humana, de 48 años de edad y sexo femenino, que tras traumas recurrentes en ambos miembros inferiores refirió, en la Consulta de Dermatología, que hace cuatro años comenzó con lesiones en el pie izquierdo, inicialmente nódulos indoloros que luego comenzaron con exudación amarillenta, dolor moderado e inflamación en esa área. El estudio anatomopatológico y el microbiológico confirmaron la presencia del género Nocardia como agente causal de actinomicetoma. Se inició terapia antimicrobiana con trimetropim/sulfametosaxol y diaminodifenil-sulfona y se logró total resolución de las lesiones.  Conclusiones: el diagnóstico de esta enfermedad debe realizarse desde una perspectiva integral teniendo en cuenta aspectos clínicos, epidemiológicos, microbiológicos, anatomopatológicos y radiológicos que contribuyan a establecer la carga de morbilidad y mortalidad que aporta esta condición clínica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[micetoma]]></kwd>
<kwd lng="es"><![CDATA[eumicetoma]]></kwd>
<kwd lng="es"><![CDATA[actinomicetoma]]></kwd>
<kwd lng="es"><![CDATA[nocardia]]></kwd>
<kwd lng="en"><![CDATA[mycetoma]]></kwd>
<kwd lng="en"><![CDATA[eumycetoma]]></kwd>
<kwd lng="en"><![CDATA[actinomycetoma]]></kwd>
<kwd lng="en"><![CDATA[nocardia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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