White grain mycetoma caused by Scedosporium apiospermum in North India: a case report

The International Journal of Lower Extremity Wounds
Munesh Kumar GuptaRagini Tilak

Abstract

Mycetoma is chronic granulomatous infection of skin and subcutaneous tissue caused by both bacteria and fungi. We report a case of mycetoma caused by Scedosporium apiospermum in the right foot of a 45-year-old farmer in north India. The patient had a history of trauma in the sole of the right foot followed by discharge of white granules along with proximal progression. Scedosporium apiospermum was identified based on colony characteristics and microscopic features on slide culture. Mycetoma is a progressive disease. Foot is commonly affected in persons who walk barefoot, especially in south India. Untreated mycetoma progress and involve the underlying fasciae and tissues along with bones often resulting in loss of limb. By prompt and reliable diagnosis with corresponding antimicrobial administration, we can prevent further progression and limb disability.

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Mar 3, 2015·Journal of the European Academy of Dermatology and Venereology : JEADV·P NenoffH Schöfer
Jul 12, 2018·JBI Database of Systematic Reviews and Implementation Reports·Amos Omondi SalimSamson Gwer
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