The First Autochthonous Case of Actinomycetoma in a Bedouin Patient in the Israeli Negev Region

Meital Haber Department of Dermatology and Venereology, Soroka University Medical Center Center, Beer Sheva, Israel;

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Tali Shafat Institute for Infectious Diseases and Ben Gurion University of the Negev, Soroka University Medical Center, Beer Sheva, Israel;

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Benzion Samueli Department of Pathology, Soroka University Medical Center, Beer Sheva, Israel;

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Daniel Grupel Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Jerusalem, Israel;
Faculty of Medicine, Hebrew University, Jerusalem, Israel

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ABSTRACT.

We report the first autochthonous case of actinomycetoma in a Bedouin patient from Israel’s Negev Region. The patient presented with plantar and interdigital (web) nodular lesions. The time to diagnosis from the first medical contact was 4 years, and several treatment modifications were made until a satisfactory clinical response was achieved. This case underscores the potential underdiagnosis of mycetoma in nonendemic areas, the limited data regarding optimal treatment regimens, and the need for heightened clinical awareness.

Author Notes

Current contact information: Meital Haber, Department of Dermatology and Venereology, Soroka University Medical Center, Beer Sheva, Israel, E-mail: meishart@yahoo.com. Tali Shafat, Soroka University Medical Center, Beer Sheva, Israel, and Institute for Infectious Diseases and Ben Gurion University of the Negev, Beer Sheva, Israel, E-mail: 2li.shafat@gmail.com. Benzion Samueli, Department of Pathology, Soroka University Medical Center, Beer Sheva, Israel, E-mail: benzionsa@clalit.org.il. Daniel Grupel, Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Jerusalem, Israel, E-mail: daniel@grupel.com.

Address correspondence to Daniel Grupel, Department of Clinical Microbiology and Infectious Diseases, Hadassah Medical Center, Kalman Mann St., Jerusalem 91120, Israel. E-mail: daniel@grupel.com
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