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

Abstract

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.

• Authors: B A Diatta, M Ndiaye, L Sarr, B J M Diatta, A B Gueye, A Diop, M Bangoura, A B Diouf, H Djioumoi, H Hakim, M Diallo, A D Sané, M T Dieng, A Kane
• Journal: Journal de mycologie medicale (J Mycol Med) Vol. 24 Issue 4 Pg. 351-4 (Dec 2014) ISSN: 1773-0449 [Electronic] France
• Vernacular Title: Un mycétome fongique tumoral dorsal: intérêt de la chirurgie large associée à la terbinafine.
• PMID: 25467818 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2014 Elsevier Masson SAS. All rights reserved.

Chemical References

• Naphthalenes
• Terbinafine

Topics

• Aged
• Diagnosis, Differential
• Humans
• Incidental Findings
• Madurella (isolation & purification)
• Male
• Mycetoma (drug therapy, microbiology, surgery)
• Naphthalenes (therapeutic use)
• Skin Transplantation
• Terbinafine
• Thoracic Diseases (drug therapy, microbiology, surgery)
• Thoracic Neoplasms (diagnosis)