Resumo

IBARRA-MORALES, D et al. Thoracic actinomycetoma with lung compromise. Treatment with carbapenem and aminoglycoside. Med. interna Méx. [online]. 2018, vol.34, n.1, pp.136-141. ISSN 0186-4866.  https://doi.org/10.24245/mim.v34i1.1448.

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.

Palavras-chave : Thoracic mycetoma; Pulmonary actinomycetoma; Nocardiosis; Imipenem; Surgery.

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