A Unique Presentation of Eumycotic Mycetoma Involving the Left Medial Cuneiform: A Case Report
Vol 05 Issue 1 | January 2024 | page: 24-26 | Atanu Mohanty, Anuraag Mohanty
DOI: https://doi.org/10.13107/ojot.2024.v05i01.054
Received 14/07/2023; Reviewed 11/08/2023; Accepted 26/10/2023; Published 10/01/2024
Authors: Atanu Mohanty [1], Anuraag Mohanty [2]
[1] Department of Orthopaedics, Jajati Kesari Medical College and Hospital, Jajpur, Odisha, India.
[2] Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Address of Correspondence
Dr. Anuraag Mohanty,
Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
E-mail: anuraag98@gmail.com
Abstract
Eumycotic mycetoma is a chronic, destructive fungal infection predominantly affecting the subcutaneous tissues and bones, commonly seen in tropical and subtropical regions. We report a rare case of eumycotic mycetoma involving the left medial cuneiform in a 42-year-old male factory worker from India. The patient presented with a two-year history of a painful ulcer on the sole of his foot following a thorn prick. Clinical examination revealed tumefaction, multiple discharging sinuses, and purulent exudate containing black granules, characteristic of eumycotic mycetoma. Radiological evaluation showed an osteolytic lesion localized to the medial cuneiform bone, suggestive of chronic osteomyelitis. Surgical intervention comprising debridement and saucerization of the affected bone and soft tissues was performed. Tissue biopsy confirmed the diagnosis of eumycotic mycetoma, demonstrating granulomas with fungal hyphae. The patient was treated postoperatively with oral itraconazole for one year, resulting in complete resolution of symptoms and radiological healing. This case highlights the diagnostic challenges posed by eumycotic mycetoma, the importance of integrating clinical, radiological, and histopathological findings, and the need for prolonged antifungal therapy in combination with surgical management for optimal outcomes.
Keywords: Eumycotic mycetoma, Medial cuneiform, Chronic osteomyelitis, Fungal infection, Black granules, Itraconazole therapy
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| How to Cite this Article: Mohanty A, Mohanty A A Unique Presentation | of Eumycotic Mycetoma Involving the Left Medial Cuneiform: A Case Report | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01:24-26 | https://doi.org/10.13107/ojot.2024.v05i01.054 |
