Madura foot caused by Gordonia terrae misdiagnosed as Nocardia

Australas J Dermatol. 2017 Aug;58(3):e129-e131. doi: 10.1111/ajd.12516. Epub 2016 Jun 7.

Abstract

Actinomycetomas are soft tissue bacterial infections that are in the differential for unusual masses of the extremities. Typical infectious agents include Actinomyces and Nocardia and are treated with long-term antibiotics. We report a rare case of Gordonia actinomycetoma that was misdiagnosed as Nocardia and subsequently required surgical excision in addition to antibiotic therapy.

Keywords: Gordonia terrae; Madura foot; actinomycetoma.

Publication types

  • Case Reports

MeSH terms

  • Actinomycetales Infections / complications*
  • Actinomycetales Infections / microbiology
  • Actinomycetales Infections / therapy*
  • Adult
  • Diagnostic Errors
  • Female
  • Foot Dermatoses / microbiology*
  • Foot Dermatoses / therapy
  • Gordonia Bacterium*
  • Humans
  • Mycetoma / microbiology*
  • Mycetoma / therapy*
  • Nocardia Infections / diagnosis