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[Scapulo-thoracic mycetoma. A rare localization, a particular form]
1Service d'Orthopédie et de Traumatologie, C.H.U. Le Dantec, Dakar, Sénégal.
Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|October 17, 1998
Summary
This report details a rare scapulo-thoracic mycetoma caused by Streptomyces pelletieri. Early diagnosis and treatment with cotrimoxazole are crucial for managing this uncommon fungal infection.
Area of Science:
- Medical Mycology
- Tropical Diseases
- Dermatology
Background:
- Mycetoma is a chronic fungal infection with rare presentations.
- Distinguishing mycetoma from other tropical diseases is clinically important.
Observation:
- A 55-year-old male presented with a scapulo-thoracic tumor 10 years post-injury.
- The tumor was a polyfistular mass on the left shoulder, lacking visible red granules.
- Histological examination revealed Streptomyces pelletieri granuloma.
Findings:
- The case represents an uncommon encapsulated and polyfistular scapulo-thoracic mycetoma.
- Streptomyces pelletieri was identified as the causative agent.
- Cotrimoxazole treatment yielded positive results.
Implications:
- Scapulo-thoracic mycetoma requires consideration in differential diagnoses in Sahel regions.
- This rare form can lead to complications like osteitis or pleuro-pulmonary involvement.
- Accurate diagnosis is essential for effective management of mycetoma.