Madurella mycetomatis-Induced Massive Shoulder Joint Destruction: A Management Challenge

X-ray of the left shoulder joint showing soft tissue mass, complete destruction of the humeral head, and multiple cavities in glenoid cavity and coracoid process. http://dx.doi.org/10.1371/journal.pntd.0004849.g002 Fig 3. [...]surgery under local anaesthesia is contraindicated in mycetoma as it will...

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Bibliographic Details
Published in:PLoS neglected tropical diseases 2016-08, Vol.10 (8), p.e0004849-e0004849
Main Authors: Scolding, Peter S, Abbas, Mustafa A Q, Omer, Roa Fathelrahman, Fahal, Ahmed Hassan
Format: Article
Language:English
Subjects:
Abdomen
Adult
Anesthesia
Antifungal Agents - therapeutic use
Arthritis
Bacterial infections
Biology and Life Sciences
Bones
Edema
Funding
Health aspects
Hospitals
Humans
Infections
Itraconazole - therapeutic use
Joint Diseases - diagnostic imaging
Joint Diseases - drug therapy
Joint Diseases - microbiology
Lymphatic system
Madurella
Maduromycosis
Male
Medicine and Health Sciences
Mycetoma - diagnostic imaging
Mycetoma - drug therapy
Mycetoma - microbiology
Neutrophils
Pain
Research and Analysis Methods
Shoulder
Shoulder pain
Sinuses
Symposium
Tropical diseases
Tuberculosis
Ultrasonic imaging
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Summary:X-ray of the left shoulder joint showing soft tissue mass, complete destruction of the humeral head, and multiple cavities in glenoid cavity and coracoid process. http://dx.doi.org/10.1371/journal.pntd.0004849.g002 Fig 3. [...]surgery under local anaesthesia is contraindicated in mycetoma as it will result in suboptimal excision and recurrence. Key Learning Points * Mycetoma is a badly neglected tropical disease. * The external appearance of mycetoma is always deceiving. * Shoulder mycetoma is rare but has serious sequelae. * The differential diagnosis in this patient includes septic or tuberculous arthritis, cutaneous tuberculosis, or neoplasia. * Accurate and timely diagnosis is crucial for proper treatment. * Advanced shoulder mycetoma poses a treatment dilemma due to the extensive joint destruction, chronic sepsis, and the mycetoma itself.
ISSN:1935-2735
1935-2727
1935-2735
DOI:10.1371/journal.pntd.0004849