Eumycetoma Osteomyelitis Calcaneus in Adolescent; report of case and literature review

Hozifa Abd-Elmaged,Adnan Alnaser,Reyad Abdallah,Ammar Awad,Hussam S Khougali

doi:10.1186/s12879-021-06695-3

Hozifa Abd-Elmaged, Adnan Alnaser + Show 3 more

Open Access

https://doi.org/10.1186/s12879-021-06695-3

Copy DOI

Abstract

BackgroundMycetoma is the most common neglected disease in humans. It is a chronic, progressive, and destructive disease primarily caused by fungi or bacteria characterized by formation of dark pale grains commonly involve skin, soft tissue and rarely bone.Case presentationA 19 year old male patient with chronic right ankle pain, swelling and abscess formation for more than 1 year, patient was treated repeatedly with incision and drainage without any success. No X-ray, biopsy or swab for culture and sensitivity had been considered through the course of presentation. Patient was referred to Omdurman hospital where osteomyelitis secondary euomycetoma infection has been confirmed based on radiological and pathological assessment. Patient was treated surgically with aggressive debridement and bone curettage plus postoperative Itraconazole for 1 year.ConclusionClinicians must consider osteomyelitis as important differential diagnosis during initial assessment Eumycetoma infection in adults. Aggressive bone curettage followed by regular X-ray follow up can be limb saving procedure in such cases.

Highlights

Mycetoma is the most common neglected disease in humans
Aggressive bone curettage followed by regular X-ray follow up can be limb saving procedure in such cases
Mycetoma defined as a chronic cutaneous and subcutaneous swelling caused by two types of organisms, either fungus type or bacterial type [1]

Summary

Introduction

Mycetoma is the most common neglected disease in humans. It is a chronic, progressive, and destruc‐ tive disease primarily caused by fungi or bacteria characterized by formation of dark pale grains commonly involve skin, soft tissue and rarely bone.Case presentation: A 19 year old male patient with chronic right ankle pain, swelling and abscess formation for more than 1 year, patient was treated repeatedly with incision and drainage without any success. Conclusion: Clinicians must consider osteomyelitis as important differential diagnosis during initial assessment Eumycetoma infection in adults. Formation of dark pale grains, poor response to treatment and high recurrence rate are the most common characteristic features of this disease [2, 4].

Results

Conclusion