Saül A, Lavalle P, Serrano A, Zenteno J
Med Cutan Ibero Lat Am. 1975;3(2):103-10.
A case of cephalic mycetoma caused by Streptomyces somaliensis which has involved the orbit and craneal cavity with exoftalmus and symptoms of irritation and brain compression is reported. The patient has improved with a medical treatment (sulfomethoxazol-trimetoprim) associated with a descompressive craniectomy. The authors comment the geographic distribution of the agents of mycetoma especially of S. somaliensis very rare specie in America. Only 10 proved cases of Mycetoma caused by this Actinomycete have been found in Mexico. Our patient came from the state of Chihuahua, in the north of Mexico and is the second case from this state and the most septentrional (parallel 32 degrees) in the American continent.
报告了一例由索马里链霉菌引起的头部足菌肿病例，该病例累及眼眶和颅腔，伴有眼球突出以及刺激和脑受压症状。患者通过联合减压颅骨切除术的药物治疗（磺胺甲恶唑 - 甲氧苄啶）后病情有所改善。作者评论了足菌肿病原体的地理分布，特别是索马里链霉菌，这是一种在美国非常罕见的物种。在墨西哥仅发现了10例经证实由这种放线菌引起的足菌肿病例。我们的患者来自墨西哥北部的奇瓦瓦州，是该州的第二例病例，也是美洲大陆最北部（北纬32度）的病例。
