Eumycetoma by Madurella mycetomatis with 30 years of evolution: therapeutic challenge

Author:

Sampaio Felipe Maurício Soeiro1,Galhardo Maria Clara Gutierrez2,Quintella Leonardo Pereira2,Souza Paulo Roberto Cotrim de3,Coelho Janice Mary Chicarino de Oliveira2,Valle Antonio Carlos Francesconi do2

Affiliation:

1. Army Central Hospital, Brazil

2. Oswaldo Cruz Foundation, Brazil

3. Federal Hospital of Bonsucesso, Brazil

Abstract

We report a case of eumycetoma by Madurella mycetomatis on the buttocks and thighs in an adult immunocompetent patient, diagnosed after 30 years of clinical development. He was treated over four years with fluconazol and itraconazol associated with five times surgical excisions of subcutaneous nodules. At the eighth year of follow-up, one nodule recurred on the right infragluteal region, which was excised surgically and has remained asymptomatic ever since.

Publisher

FapUNIFESP (SciELO)

Subject

Dermatology

Reference9 articles.

1. Tropical Dermatology;do Valle ACF,2006

2. In vitro susceptibility of Madurella mycetomatis to posaconazole and terbinafine;van Belkum A;Antimicrob Agents Chemother,2011

3. Successful treatment of black-grain mycetoma with voriconazole;Loulergue P;Am J Trop Med Hyg,2006

4. Madura foot - mind the soil;El Muttardi N;J Plast Reconstr Aesthet Surg,2010

5. The Madura foot: looking deep;Venkatswami S;Int J Low Extrem Wounds,2012

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