Mycetoma is a clinical syndrome of localized, indolent, deforming swollen lesions and sinuses, involving cutaneous and subcutaneous tissues, fascia, and bone. Its lesions are composed of suppurating abscesses, granulomata, and draining sinuses
and
the
etiologic agents are wide vaiety of bacteria (actinomycotic mycetoma) and fungi(eumcotic mycetoma) from plant debris and soil. The patient was a 65-year-old female and a farmer. She was referred by the skin lesion localized on the dorsum of her
lefther
left hand and wrist for three months.
It showed multiple subcutaneous nodules, abscesses, and discharging fistula based on the erythematous plaque. The skin biopsy from the lesion revealed the PAS positively hyphae in the granulocytic infiltration. Fungus culture with a piece of
tissue
on
sabouraud media shows thin, floccose, white colonies. Slide culture and biochemical identification of pathogen led to the final diagnosis as Mycetoma caused by Pseudallescheria boydii(Monosporium apiospermum).
The lesions desappeared gradually following systemic oral administration of Itraconazole 200mg daily for six weeks
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