Mycetoma caused by Streptomyces sudanensis.

INTRODUCTION

Mycetomas are deep, chronic skin infections caused by bacteria or fungi.

CASE PRESENTATION: We report the case of an adult male patient with mycetoma caused by Streptomyces sudanensis located on the foot. The patient was treated with i.m. gentamicin (80 mg/day) for six weeks, followed by three-week stop period. A total of eight courses six-week courses of gentamicin therapy, each followed by a three-week stop period, were completed. The patient is still undergoing treatment with the same regimen.

CONCLUSIONS

Pulsed therapy may be considered in the management of mycetoma in order to prevent the development of resistance.