A case of actinomycotic mycetoma is reported from the Rio Grande Valley of Texas. This is the first reported case of a mycetoma caused by Nocardia pelletieri in the United States. Clinical, laboratory, and radiographic studies established the diagnosis. Gross microscopic features of the lesions and the causative organism are described. The geographic distribution and classification of N pelletieri are discussed.
Bergeron JR, Mullins JF, Ajello L. Mycetoma Caused by Nocardia pelletieri in the United States. Arch Dermatol. 1969;99(5):564-566. doi:10.1001/archderm.1969.01610230056010