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February 14, 2026BMC Infectious DiseasesOpen Access

A rare presentation of actinomycotic mycetoma of the hand: a case report

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Authors

SMShahrzad Layegh MirhosseyniShahid Beheshti University of Medical SciencesAAArmin AbdiShahid Beheshti University of Medical SciencesMKMohammad KordTehran University of Medical Sciences

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Implication

Case report reveals actinomycotic mycetoma in an 85-year-old male, highlighting diagnostic challenges and effective antibiotic therapy.

Key Points

  • To present a rare case of actinomycotic mycetoma without classic sinus formation.
  • Case report on an 85-year-old male with a chronic painful mass
  • Histopathological examination revealed yellow granules with filamentous bacteria
  • Diagnosis confirmed using RT-PCR with pan-actinomycetes primers
  • Patient treated with combination antibiotic therapy: penicillin V and trimethoprim-sulfamethoxazole
  • Mass without sinus tracts was noted; diagnosis supported by Histopathology
  • CT showed soft tissue swelling and bone erosion
  • Patient responded to prolonged antibiotic therapy despite delayed diagnosis

Cite This Study

Mirhosseyni et al. (2026) studied this question.

synapsesocial.com/papers/698fd276306598e8538deaaehttps://doi.org/10.1186/s12879-026-12825-6
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