Internal fistula formation: an unusual complication of mycetoma

Transactions of the Royal Society of Tropical Medicine and Hygiene
A H FahalE S Mahgoub

Abstract

This paper reports 2 hitherto undescribed complications of mycetoma, urinary extravasation and expectoration of mycetoma grains due to cutaneo-urethral and cutaneo-pleuro-bronchial fistulae, respectively. The first patient had an infection with Actinomadura madurae which started in the foot and had spread progressively to involve the whole limb, anterior abdominal wall, perineum and urethra. The second patient had Madurella mycetomatis infection of the hand and, in spite of extensive treatment, the infection had spread to the axilla, chest wall, lung and bronchial tree. Both patients died of the sequelae of these complications. The pathogenesis of these unusual complications is discussed.

References

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Citations

May 18, 1999·Transactions of the Royal Society of Tropical Medicine and Hygiene·A H Fahal, A R Sharfy
Aug 6, 1998·Transactions of the Royal Society of Tropical Medicine and Hygiene·H I YagiA M el Hassan
Jun 25, 2008·American Journal of Clinical Dermatology·Jim E Zeegelaar, William R Faber
Mar 31, 2015·PLoS Neglected Tropical Diseases·Ahmed FahalManar Elsheikh Abdel-Rahman
Feb 16, 2012·The International Journal of Lower Extremity Wounds·Sandhya VenkatswamiShobana Subramanyam
Oct 3, 2018·Tropical Medicine and Infectious Disease·Ahmed Hassan FahalRoderick Hay
Jan 6, 2021·Transactions of the Royal Society of Tropical Medicine and Hygiene·Osama Elhadi BakheetAhmed Hassan Fahal
Mar 26, 2021·PLoS Neglected Tropical Diseases·Khadim DiongueDaouda Ndiaye
May 14, 2021·Transactions of the Royal Society of Tropical Medicine and Hygiene·Hassan H MusaIdriss H Musa
Mar 21, 1998·Journal of Clinical Microbiology·A O Ahmed, E S Abugroun

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