Mycetoma caused by Streptomyces sudanensis
DOI:
https://doi.org/10.3855/jidc.21134Keywords:
Mycetoma, Streptomyces sudanensis, gentamicin, pulsed therapyAbstract
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.
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Copyright (c) 2026 Maria Alessandra Mattioli, Elisa Cinotti, Pietro Rubegni, Stefano Veraldi
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