Indian Dermatology Online Journal

CASE REPORT
Year
: 2021  |  Volume : 12  |  Issue : 2  |  Page : 298--301

Mycetoma due to Nocardia Africana/Nova treated successfully with cotrimoxazole and moxifloxacin


Molisha Bhandari1, Sushruta Kathuria1, Niti Khunger1, Bhawna Sharma2 
1 Department of Dermatology and STD, Safdarjung Hospital and Vardhaman Mahavir Medical College, Ansari Nagar, New Delhi, India
2 Department of Microbiology, Safdarjung Hospital and Vardhaman Mahavir Medical College, Ansari Nagar, New Delhi, India

Correspondence Address:
Sushruta Kathuria
Department of Dermatology and STD, Safdarjung Hospital and Vardhaman Mahavir Medical College, Ansari Nagar, New Delhi - 110 029
India

Nocardia africana is a recently identified organism and has rarely been reported to cause mycetoma. Here we report the case of a 40-year-old woman who presented with discharging sinuses and nodules for the past 7 years along with few discrete axillary lymph nodes. Cultures and Maldi-TOF MS (Matrix-assisted laser desorption/ionization–time of flight mass spectrometry) method identified the causative organism as Nocardia africana/nova. The organism was acid-fast positive on modified Ziehl-Neelsen stain and Gram's stain revealed branched filamentous beaded gram-positive bacilli, while histopathology showed granulation tissue along with few ill-defined epithelioid cell granulomas, with giant cells. Based on the sensitivity report, the patient was started on tablet moxifloxacin and cotrimoxazole, and has shown considerable improvement at 2.5 months of follow-up.


How to cite this article:
Bhandari M, Kathuria S, Khunger N, Sharma B. Mycetoma due to Nocardia Africana/Nova treated successfully with cotrimoxazole and moxifloxacin.Indian Dermatol Online J 2021;12:298-301


How to cite this URL:
Bhandari M, Kathuria S, Khunger N, Sharma B. Mycetoma due to Nocardia Africana/Nova treated successfully with cotrimoxazole and moxifloxacin. Indian Dermatol Online J [serial online] 2021 [cited 2022 Jan 17 ];12:298-301
Available from: https://www.idoj.in/article.asp?issn=2229-5178;year=2021;volume=12;issue=2;spage=298;epage=301;aulast=Bhandari;type=0