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Mycetoma 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 presentation  We 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.    Conclusion  Our case report suggests that  A. meyerae  is a potential agent of wound infection in farm workers in contact with hay.

Actinomadura meyerae osteitis following wound contamination with hay in a woman in France: a case report