Actinomycetoma pedis caused byNocardia caviaein India

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Abstract
Two cases of actinomycetoma pedis caused by Nocardia caviae are described. Both presented with mycetoma pedis of the right foot with multiple seropurulent discharging sinuses devoid of granules. One had no definite history of trauma but the patient usually worked barefoot in fields. The other had a history of operation at the site of the disease. N. caviae isolated from these cases was considered to be the causative agent. The source of infection and the saprophytic existence of N. caviae in Indian soils are discussed. These are the first cases reported from India and only 2 other similar cases have been reported.