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Correspondence |

Madura Foot Caused by Actinomadura madurae in a Pregnant Woman

Iwei Yeh, MD, PhD; Shireesha Dhanireddy, MD
Arch Dermatol. 2010;146(10):1189-1190. doi:10.1001/archdermatol.2010.296.
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World Health Organization, WHO Model Prescribing Information: Drugs Used in Skin Diseases.  Geneva, Switzerland World Health Organization1997;
Tight  RRBartlett  MS Actinomycetoma in the United States. Rev Infect Dis 1981;3 (6) 1139- 1150
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PubMed
Weinberg  ED Pregnancy-associated depression of cell-mediated immunity. Rev Infect Dis 1984;6 (6) 814- 831
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Kannon  GAKuechle  MKGarrett  AB Superficial cutaneous Nocardia asteroides infection in an immunocompetent pregnant woman. J Am Acad Dermatol 1996;35 (6) 1000- 1002
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Figure 1

The patient's right foot at presentation shows a large nodule over the medial ankle and multiple nodules on the plantar surface. Centrally, all nodules show a small cluster of reddish papules without signs of breakdown or vesicles.

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Figure 2

Hematoxylin-eosin–stained punch biopsy specimen. The main panel demonstrates dermal inflammation and a granule in the deep dermis (original magnification ×2). Inset shows detail of the granule with basophilic filamentous rods surrounded by neutrophilic inflammation (original magnification ×40).

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