Bonnet Emilie, Flecher Xavier, Paratte Sebastien, Argenson Jean-Noël, Raoult Didier, Fournier Pierre-Edouard
Federation de Microbiologie, Hôpital de la Timone, Marseille, France.
J Med Case Rep. 2011 Jan 26;5:32. doi: 10.1186/1752-1947-5-32.
Mycetoma is a chronic granulomatous infection caused by environmental fungi or bacteria. It affects dermal and subcutaneous tissues, with putative contiguous extension to muscles or bones. While common in tropical and subtropical areas, mycetoma is rare in Europe.
We describe a case of Actinomadura meyerae osteitis in a 49-year-old Caucasian woman who suffered a tibia open fracture contaminated with hay; to the best of our knowledge the first case of autochthonous A. meyerae infection reported in France. The bacterium was cultivated from a bone biopsy. Following surgical osteosynthesis and six months of treatment with cotrimoxazole, our patient made a full recovery.
Our case report suggests that A. meyerae is a potential agent of wound infection in farm workers in contact with hay.
足菌肿是一种由环境真菌或细菌引起的慢性肉芽肿性感染。它影响皮肤和皮下组织，并可能蔓延至肌肉或骨骼。足菌肿在热带和亚热带地区常见，在欧洲则较为罕见。
我们描述了一例49岁白种女性患迈耶马杜拉放线菌性骨炎的病例，该患者胫骨开放性骨折，伤口被干草污染；据我们所知，这是法国首例报告的本土迈耶马杜拉放线菌感染病例。从骨活检中培养出了该细菌。经过手术骨固定和六个月的复方新诺明治疗，我们的患者完全康复。
我们的病例报告表明，迈耶马杜拉放线菌是接触干草的农场工人伤口感染的潜在病原体。
