(Last Updated On: May 4, 2019)

Authors: 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.

 

Citation

Sutantoyo C, Dayrit J, Gabriel MT, Purnomo G, Ugalde R. Mistaken identity: eumycetoma masquerading as squamous cell carcinoma. J Phil Dermatol Soc. 2018; 27(1): 81-3.

 

Keywords

Mycetoma, fungal infections, itraconazole

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