Abstract

Mycetoma is a rare and neglected tropical disease among children. Extrapodal forms, in particular the buttock, are serious because they expose to visceral extension. We are reporting an observation remarkable for its clinical tumor presentation in a child. An 11-year-old boy was admitted at to the dermatology department for a buttock tumor that has been evolving for 2 years. Physical examination showed a multinodular, polyfistulized, and inflammatory tumor emitting red granules located in the buttocks. Mycological examination isolated Actinomadure pelletieri that confirms the diagnosis of actinomicotic mycetoma. The evolution, after a two-year follow-up, was positive under antibiotic therapy combining cotrimoxazol, clavulanic acid amoxicillin and streptomycin. Our observation is specific by the occurrence of a pseudotumoral actinomycotic buttock mycetoma in a child, the diagnostic delay and the favorable evolution without recurrence after a follow-up of 24-month.

Highlights

  • Les mycétomes sont des maladies tropicales négligées endémiques au Sénégal et atteignent très souvent les adultes jeunes entre 20 et 40 ans, avec une localisation podale plus fréquente [1]

  • Our observation is specific by the occurrence of a pseudotumoral actinomycotic buttock mycetoma in a child, the diagnostic delay and the favorable evolution without recurrence after a follow-up of 24-month

  • The examination of the patient was conducted according to the principles of the Declaration of Helsinki

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Summary

Case Report

Our observation is specific by the occurrence of a pseudotumoral actinomycotic buttock mycetoma in a child, the diagnostic delay and the favorable evolution without recurrence after a follow-up of 24-month. Pseudotumoral actinomycotic mycetoma of the buttock in children: A case report. Le mycétome est une maladie tropicale négligée rare chez l’enfant. Nous en rapportons une observation chez un enfant remarquable par sa présentation clinique tumorale. Notre observation est particulière par la survenue d’un mycétome pseudotumoral actinomycosique fessier chez un enfant, le retard diagnostic et l’évolution favorable sans récidive après un recul de 24 mois. Un mycétome actinomycosique pseudotumoral de la fesse chez l’enfant : une observation.

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