Two simultaneous mycetomas caused by Fusarium verticillioides and Madurella mycetomatis

Bonifáz, Alexandro; Saldaña, Mariana; Santibáñez, Javier; Mercadillo, Patricia; Tirado‐Sánchez, Andrés

doi:10.1590/s1678-9946201759055

Rev. Inst. Med. trop. S. Paulo

2017

DOI: 10.1590/s1678-9946201759055

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Two simultaneous mycetomas caused by Fusarium verticillioides and Madurella mycetomatis

Alexandro Bonifáz

Mariana Saldaña

Javier Santibáñez

et al.

Abstract: Mycetoma is a chronic granulomatous disease, classified into eumycetoma caused by fungi and actinomycetoma due to aerobic filamentous actinomycetes. Mycetoma can be found in geographic areas near the Tropic of Cancer. Mexico is one of the countries in which actinomycetoma is endemic. We report an extraordinary case of an adult male with double eumycetoma caused by Madurella mycetomatis and Fusarium verticillioides on both feet.

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Cited by 6 publications

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“…Mycetoma has been acknowledged as a Neglected Tropical Disease (NTD) by the World Health Organisation (WHO) in 2016 [25] and continues to evade efforts to estimate its true burden. the tips.…”

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Fusarium as a Cause of Mycetoma: A Case Report and Review of the Literature

Waske¹,

Ayer²,

Marothi³

2023

NJLM

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Mycetoma is a chronic, slow progressive granulomatous infection of skin and subcutaneous tissue; is classified into Eumycetoma (caused by fungi) and Actinomycetoma (caused by Actinomycetes). Fusarium, is a known cause of mycetoma. This case report describes the isolation and identification of Fusarium sp. from a lesion on the right foot of a female patient. This case report is about a 23-year-old female with complaints of gradual enlarging nodular swelling with multiple discharging sinuses along with granules on the right foot, on and off for last seven years. The granules obtained from the lesions are the best specimen for culture as they contain microcolonies of causative agents and it’s a hallmark of mycetoma. Granules were collected aseptically, crushed and examined microscopically on 20% KOH preparation. Plenty of thin hyaline, septate hyphae were seen. Granules were washed with sterile saline and inoculated on Sabouraud’s Dextrose Agar (SDA) and potato dextrose agar and incubated aerobically at 25°C and 37°C in two sets of each. Colonies grew at inoculated site, pinkish in the centre and whitish in the periphery. The isolate was identified as Fusarium sp. on the basis of morphology. The patient was started on Itraconazole 200 mg and is currently on the same treatment, improving and under follow-up. Mycetoma is a rare disease caused by both fungal and bacterial microorganisms. Definitive diagnosis should be made on the basis of culture or histopathological examination. Once the diagnosis is made, use of appropriate anti-fungal therapy with or without surgical interventions can result in complete cure without recurrence.

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mentioning

confidence: 99%

Fusarium as a Cause of Mycetoma: A Case Report and Review of the Literature

Waske¹,

Ayer²,

Marothi³

2023

NJLM

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Eumyzetom durch Fusarium chlamydosporum

Malisiewicz

Uhrlaß²,

Nenoff³

et al. 2019

Hautarzt

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Two simultaneous eumycetomas in different sites of same patient with discharge of black and white grains – First case in India

Nupur

Sangeeta

Prasanta

et al. 2021

Indian Journal of Medical Microbiology

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Two simultaneous mycetomas caused by Fusarium verticillioides and Madurella mycetomatis

Cited by 6 publications

References 10 publications

Fusarium as a Cause of Mycetoma: A Case Report and Review of the Literature

Fusarium as a Cause of Mycetoma: A Case Report and Review of the Literature

Eumyzetom durch Fusarium chlamydosporum

Two simultaneous eumycetomas in different sites of same patient with discharge of black and white grains – First case in India

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