May 2018 Tropical Grove


Mistaken identity: Eumycetoma Masquerading as Squamous Cell Carcinoma

Mistaken identity: Eumycetoma Masquerading as Squamous Cell Carcinoma

Catherina Jessica Sutantoyo, MD, Johannes F. Dayrit, MD, FPDS, Ma. Teresita G. Gabriel, MD, FPDS Glen Purnomo, MD, Reynaldo L. Ugalde MD, FPDS

We report a case of eumycetoma in a Filipino patient who presented with a solitary reddish brown, moist, multinodular tumor on the dorsum of the left foot of 2 years duration. Biopsy with Periodic acid Schiff (PAS) & Gomori methenamine silver (GMS) staining, fungal culture, ultrasound and X-ray of the foot were done in our institution which confirmed the diagnosis of eumycetoma. The patient was successfully treated with itraconazole 400/day for 3 months, followed by 200mg/day for the succeeding 9 months, leading to complete resolution of the lesion leaving an atrophic hypopigmented scar. A high index of suspicion supported by diagnostic tests aided in the early detection of the disease which also resulted to complete resolution of the disease.