Volume 26, Number 2—February 2020
Research Letter
Actinomycetoma Caused by Actinomadura mexicana, A Neglected Entity in the Caribbean
Figure

Figure. Actinomycetoma caused by Actinomadura mexicana infection in a 38-year-old woman from Haiti, France. A) Multinodular lesions on the dorsal surface of the left foot. B) Liquid from puncture of the nodules, showing white-yellow grains. C) Gram-positive bacilli branching out, characteristic of actinomycetal bacteria (original magnification ×1,000). D) Colonies after an 8-day incubation, showing warty ornamentation, pink to pallid red, convex, with a wrinkled morphology (observed through binocular magnifying glass).
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