Site Under Construction

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

Abstract

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.

References

Afroz N, Khan N, Siddiqui FA, Rizvi M. Eumycetoma versus actinomycetoma: Diagnosis on cytology. J Cytol.2010 Oct;27(4):133-135
Fahal A, Mahgoub ES, Hassan AME, Abdel-Rahman ME (2015) Mycetoma in the Sudan: An Update from the Mycetoma Research Centre, University of Khartoum, Sudan. PLoS Negl Trop Dis 9(3): e0003679. doi:10.1371/journal.pntd.0003679
Sen A, Pillay RS. Case report: Dot-in-circle sign – An MRI and USG sign for “Madura foot”.Indian J Radiol Imaging 2011;21:264-6
Rana S, Kalhan S, Hasija S, Sharma P, Garg S. The Madura Foot: A Case of Eumycotic Mycetoma on Histopathology. Sch. J. App. Med. Sci., 2015; 3(2B):658-661
Hay RJ. Deep fungal infection. In: Fitzpatrick’s Dermatology in General Dermatology 8th edition. Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K editors. McGraw-Hill;2012.p23125
Wankhade AB, Ghadage DP, Mali RJ, Bhore AV. Mycetoma foot due to Madurella mycetomatis. Ann Trop Med Public Health 2012;5:352-4
Resnik BI, Burdick AE. Improvement of eumycetoma with itraconazole. J Am Acad Dermatol 1995; 33:917-9
Mohammad N, Arif C, Ruksana P, Rokon U, Abdur R, Moydul H; The Madura foot. A Case Report. N Dermatol Online, 2011; 2(2): 70-73.
Abraham BJ, Deepa KM. An unusual presentation of eumycetoma mimicking soft tissue sarcoma of the foot. Kerala Journal of Orthopaedics. Vol 26. Issue 2. July 2013

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

Abstract

References

Skin manifestations of COVID-19: a preliminary report on 2 patients and review of related literature

Herpes zoster after COVID-19 vaccination: A case series

Schimmelpenning syndrome with didymosisaplasticosebacea in an infant

REquesting Permission

Mistaken identity: Eumycetoma Masquerading as Squamous Cell Carcinoma