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

Munesh Kumar Gupta1, Tuhina Banerjee, Dhirendra Kumar

  • 11Dept. of Microbiology, IMS, Banaras Hindu University, Varanasi, India.

The International Journal of Lower Extremity Wounds
|December 21, 2013
PubMed

Insights

This case study details a rare mycetoma infection in a farmer

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Mycetoma is a chronic granulomatous infection affecting skin and subcutaneous tissues.
  • It can be caused by fungi (eumycetoma) or bacteria (actinomycetoma).
  • Scedosporium apiospermum is a fungal agent implicated in mycetoma.

Observation:

  • A 45-year-old farmer in North India presented with mycetoma.
  • The infection was located in the right foot, following trauma.
  • Symptoms included discharge of white granules and disease progression.

Findings:

  • Scedosporium apiospermum was identified as the causative agent.
  • Diagnosis was confirmed through colony characteristics and microscopy.
  • The case highlights a fungal mycetoma in an unusual geographic location for this agent.

Implications:

  • Mycetoma is a progressive disease that can lead to severe disability and limb loss.
  • Prompt diagnosis and appropriate antimicrobial treatment are crucial.
  • Early intervention can prevent disease progression and preserve limb function.
Keywords:
IndiaScedosporiumfootmycetomawhite grain

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