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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Actinomadura meyerae osteitis following wound contamination with hay in a woman in France: a case report | Bonnet et al. Journal of Medical Case Reports 2011 5 32 http www.jmedicalcasereports.eom content 5 1 32 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Actinomadura meyerae osteitis following wound contamination with hay in a woman in France a case report 12 2 2 1 1 Emilie Bonnet Xavier Flecher Sebastien Paratte Jean-Noel Argenson Didier Raoult Pierre-Edouard Fournier Abstract Introduction Mycetoma is a chronic granulomatous infection caused by environmental fungi or bacteria. It affects dermal and subcutaneous tissues with putative contiguous extension to muscles or bones. While common in tropical and subtropical areas mycetoma is rare in Europe. Case presentation We describe a case of Actinomadura meyerae osteitis in a 49-year-old Caucasian woman who suffered a tibia open fracture contaminated with hay to the best of our knowledge the first case of autochthonous A. meyerae infection reported in France. The bacterium was cultivated from a bone biopsy. Following surgical osteosynthesis and six months of treatment with cotrimoxazole our patient made a full recovery. Conclusion Our case report suggests that A. meyerae is a potential agent of wound infection in farm workers in contact with hay. Introduction Infections caused by Actinomadura species Grampositive bacilli that belong to the family Thermomonospor-aceae within the order Actinomycetales are common in tropical and subtropical areas 1 . They are mostly caused by Actinomadura madurae and Actinomadura pelletieri. In Europe only four cases of Actinomadura infections have been reported to date caused by Actinomadura sp. 2 3 A. madurae 4 and Actinomadura sputi 5 . We report the first case of Actinomadura meyerae infection in a patient who developed osteitis following contamination of an open fracture wound with hay. Case presentation A 49-year-old Caucasian woman working on a farm in Vichy France experienced an open fracture of the left tibia caused by a hook lifting a haystack. Subsequently she was .
