scholarly journals A Rare Presentation of ConcurrentScedosporium apiospermumandMadurella griseaEumycetoma in an Immunocompetent Host

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Vivek Gulati ◽  
Seun Bakare ◽  
Saket Tibrewal ◽  
Nizar Ismail ◽  
Junaid Sayani ◽  
...  

Mycetoma is a disfiguring, chronic granulomatous infection which affects the skin and the underlying subcutaneous tissue. We present an atypical case of recurrent mycetoma without ulceration, in a 35-year-old immunocompetent male caused byScedosporium apiospermumsensu stricto andMadurella grisea, occurring at two separate anatomical sites.

2013 ◽  
Vol 55 (2) ◽  
pp. 121-123 ◽  
Author(s):  
Flávio de Mattos Oliveira ◽  
Gisela Unis ◽  
Bruno Hochhegger ◽  
Luiz Carlos Severo

We describe a case of white-grain eumycetoma caused by Scedosporium apiospermum in an immunocompetent host that was successfully treated with oral voriconazole, and we review the Brazilian reports on scedosporiosis.


CHEST Journal ◽  
2012 ◽  
Vol 142 (4) ◽  
pp. 106A
Author(s):  
Nayan Desai ◽  
Ankur Kalra ◽  
Nidhi Jain ◽  
Anjali Jain

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Akhlak Hussain ◽  
Mohinder Singh ◽  
Kuldip Singh ◽  
Harjot Bagga

Objective. Multiple extramedullary plasmacytoma lesions involving subcutaneous tissue, breast, mediastinal tissue, spleen, and soft tissue of pelvic region along with multiple bones plasmacytomas without marrow plasmacytosis are a very rare presentation.Design. Case report.Result. A 54-year-old female was found to have multiple small bony lytic lesions, multiple extramedullary soft tissue plasmacytomas, serum M protein >3 g/dL, and elevated ESR. Bone marrow aspirate did not reveal any evidence of multiple myeloma/plasmacytosis. There was no anemia, hypercalcemia, or renal insufficiency.Conclusion. Extramedullary plasmacytoma can involve multiple organs at a time including bones and soft tissue without involving bone marrow.


Cureus ◽  
2019 ◽  
Author(s):  
Abdullah M Pervaiz ◽  
Salman A Bangash ◽  
Raheel Akhtar ◽  
Zain Wahab ◽  
Hyder Bangash

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Claude Kasereka Masumbuko ◽  
Gabriel Kambale Bunduki ◽  
Mupenzi Mumbere

Abstract Background Morel-Lavallée lesions are posttraumatic, closed degloving injuries in which the skin and subcutaneous tissue are separated abruptly from superficial underlying fascia. This condition leads to an effusion containing hemolymph and necrotic fat. Magnetic resonance imaging, when available, is the modality of choice in the evaluation of Morel-Lavallée lesion. Early diagnosis and management is essential as any delay in diagnosis or missed lesion will lead to the effusion becoming infected or leading to extensive skin necrosis. We present a condition of a Morel-Lavallée lesion involving the scalp and complicated by conjunctival chemosis. Case presentation We report on a 3-year-old black African girl who presented a fluctuant swelling of entire scalp, extending to upper part of the face on the seventh day after a forehead trauma due to falling on a rock while playing. Skull x-ray revealed soft-tissue swelling, giving an impression of large fluid collection in the deep subcutaneous tissues with no bone fracture. A diagnosis of Morel-Lavallée lesion of the scalp complicated by conjunctival chemosis was made. The patient was managed with percutaneous drainage and compression bandage. The patient improved well and was subsequently discharged without any vision impairment. There was no recurrence of the lesion on follow-up. Conclusions The Morel-Lavallée lesion of the scalp complicated with conjunctival chemosis is a rare presentation of this condition. Prompt diagnosis and management are crucial for preventing complications. Image-guided diagnosis and treatment still remain a challenge in the setting of low-resource health facilities.


2007 ◽  
Vol 45 (4) ◽  
pp. 524-525 ◽  
Author(s):  
S. Abgrall ◽  
C. Pizzocolo ◽  
C. B. Michel ◽  
E. Martinod ◽  
A. Martin ◽  
...  

2013 ◽  
Vol 2013 ◽  
pp. 1-1
Author(s):  
Vivek Gulati ◽  
Seun Bakare ◽  
Saket Tibrewal ◽  
Nizar Ismail ◽  
Junaid Sayani ◽  
...  

Author(s):  
Gopinath V. P. K. ◽  
Ali Rishad C. M. ◽  
Farisa P. M.

<p class="abstract">Mycetoma or Madura foot is a chronic localized granulomatous infection caused by varied species of fungi or actinomycetes clinically diagnosed by active discharging sinuses containing ‘grains’. In atypical presentations or patients unwilling for invasive investigations, imaging essentially plays a key role in diagnosis and helps to differentiate actinomycetoma from eumycetoma. Here we present such an atypical case of unilateral foot swelling without sinuses–cryptic mycetoma. This 69 year old male from Kerala had a swelling over the left foot following trauma initially painless. An x-ray taken showed normal underlying bones with mild soft tissue swelling. To evaluate further USG was taken which showed fine hyperechoiec foci settled at the bottom of cavities highly suggestive of mycetoma. For confirmation USG guided biopsy was taken but was inconclusive. As patient was not willing for repeat biopsy, we advised non invasive MRI that revealed classical ‘Dot In Circle’ sign specific for mycetoma. The distinction that makes the case stand out is its absence of classical picture of discharging sinuses and the fact that imaging rather than histopathology helped confirm the diagnosis in mycetoma.</p>


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