Level 4. Noncomparative retrospective study.

Our results suggest that bone texture measurement improves failure load prediction when added to BMD.

IntroductionMycetoma is a chronic granulomatous infection caused by environmental fungi or bacteria. It affects dermal and subcutaneous tissues, with putative contiguous extension to muscles or bones. While common in tropical and subtropical areas, mycetoma is rare in Europe.Case presentationWe describe a case of Actinomadura meyerae osteitis in a 49-year-old Caucasian woman who suffered a tibia open fracture contaminated with hay; to the best of our knowledge the first case of autochthonous A. meyerae infection reported in France. The bacterium was cultivated from a bone biopsy. Following surgical osteosynthesis and six months of treatment with cotrimoxazole, our patient made a full recovery.ConclusionOur case report suggests that A. meyerae is a potential agent of wound infection in farm workers in contact with hay.

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