Abstract
Myetoma or Maduramycosis is a chronic granulomatous infection affecting skin and subcutaneous tissue and bone. Mycetoma is caused by Actinomycetes or by fungi such as Madurellamycetomi, Madurellagriesia etc. Eumycetoma is most commonly seen in males. The common site being foot and referred as Madura foot. The organisms present in soil are presumed to be inoculated directly after skin penetration with sharp objects like thorn and gain access to skin and subcutaneous tissue. Multiple nodules develop which suppurate and discharge grains through sinuses during active phase of the disease. We hereby report a case of Twenty year old female presented with painless swelling in right forearm which was clinically diagnosed as Lipoma and biopsy proved it to be Maduramycosis.
Highlights
Mycetoma is a chronic granulomatous infection involving skin, subcutaneous tissue and bone, caused by true fungi or filamentous bacteria [1]
Actinomycetoma is caused by a group of filamentous bacteria, of which No cardiabrasiliensis and Streptomyces madurae being most common
Eumycetoma is caused by a group of fungi with thick, septate hyphae, including Allescheria boydii, Madurellagriesia and Madurellamycetomi [7]
Summary
Mycetoma is a chronic granulomatous infection involving skin, subcutaneous tissue and bone, caused by true fungi (eumycetoma) or filamentous bacteria (actinomycetoma) [1]. Mycetoma is predominantly a disease of tropical region and was first reported in Madurai in India by Dr John Gill in 1842 [2]. The swelling was subcutaneous with smooth skin surface and was clinically diagnosed as Lipoma. FNAC was done which showed sheets ofviable and degenerate polymorphs and histiocytes. Biopsy was done and the specimen was received. The specimen received measured 2.5x 1.5x1 cm. External surface of the specimen was grey white and cut surface was greywhite with few blackish areas. Fig: 1: Specimen received measured 3.5x3x2 cm with grey white cut surface showing few blackish areas. Pathology Update: Tropical Journal of Pathology & Microbiology Available online at: www.pathologyreview.in 431 | P a g e
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