This is a lesion that occurs as a result of chronic fungal infection of the deep soft tissues and bones. Mycetomas may affect the head, limbs or trunk.
The causative organisms are eumycetes or actinomycetes.
Clinical features:
It may present as a painless swelling at the site of impregnation. Other features such as sinuses, abscesses, scarring and deformity are produced.
Investigations:
Microscopy and culture of pus; biopsy
Management:
Medical management for eumycetic infection is largely unsuccessful. Penicillin, dapsone or streptomycin may successfully treat actinomycetes.
Surgical treatment: drainage or amputation may be required.
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