Actinomycetoma Pedis Due to Nocardla Caviae in India

Abstract

Actinomycetoma pedis due to Nocardia caviae in two male cultivators a Bengalee and a Bihari and a Bengalee housewife are described. In all the cases there was swelling of foot with multiple nodules and discharging sinuses showing protuberant openings and area of fibrosis. The discharging sinuses contained white to cream yellow granules, measuring 100-600 u in size and composed of hyaline cementing matter and gram positive and non acid fast to acid fast branched filaments < I u Nocardia caviae was isolated from the discharge in an 3 cases. Various properties of the isolates are presented. Bone was involved in 2 cases. The infection followed trauma in all the cases. The local soil was the source of infection.