Thoracic tumor-like fungal mycetoma: interest of large surgery with terbinafine

Fungal mycetoma are inflammatory pseudo-tumors of subcutaneous tissues and possibly bones due to exogenous fungi. They have a chronic course, often poly-fistulated with an emission of fungal grains. We report the case of a 65-year-old farmer with a thoracic fungal mycetoma discovered incidentally, a...

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Bibliographic Details
Published in:Journal de mycologie médicale 2014-12, Vol.24 (4), p.351-354
Main Authors: Diatta, B A, Ndiaye, M, Sarr, L, Diatta, B J M, Gueye, A B, Diop, A, Bangoura, M, Diouf, A B, Djioumoi, H, Hakim, H, Diallo, M, Sané, A D, Dieng, M T, Kane, A
Format: Article
Language:fre
Subjects:
Aged
Diagnosis, Differential
Humans
Incidental Findings
Madurella - isolation & purification
Male
Mycetoma - drug therapy
Mycetoma - microbiology
Mycetoma - surgery
Naphthalenes - therapeutic use
Skin Transplantation
Thoracic Diseases - drug therapy
Thoracic Diseases - microbiology
Thoracic Diseases - surgery
Thoracic Neoplasms - diagnosis
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Summary:Fungal mycetoma are inflammatory pseudo-tumors of subcutaneous tissues and possibly bones due to exogenous fungi. They have a chronic course, often poly-fistulated with an emission of fungal grains. We report the case of a 65-year-old farmer with a thoracic fungal mycetoma discovered incidentally, associated with bone involvement. The diagnosis was confirmed by the positive culture to Madurella mycetomatis. The outcome was favorable with terbinafine 1g per day for 12 months associated with complete excision of oncologic type followed by a skin graft.
ISSN:1773-0449
DOI:10.1016/j.mycmed.2014.10.015