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Year : 2021  |  Volume : 13  |  Issue : 4  |  Page : 192-195

Cranial mycetoma: A rare case report with review of literature

1 Department of Pathology, ICMR National Institute of Pathology, VMMC and Safdarjung Hospital, New Delhi, India
2 Department of Neurosurgery, VMMC and Safdarjung Hospital, New Delhi, India

Correspondence Address:
Dr. Swati Singh
Department of Pathology, ICMR National Institute of Pathology, Safdarjung Hospital Campus, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jgid.jgid_291_20

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Mycetoma is a chronic granulomatous infection caused by fungi or bacteria, known as eumycetoma and actinomycetoma, respectively. Mycetoma commonly affects young males belonging to low socioeconomic strata, usually barefooted agricultural workers. It mainly affects lower and upper limbs presenting as a painless swelling with discharging sinus. Rarely, is it encountered in the intracranial location. The diagnosis relies on the clinical presentation and identification of the etiological agents within the tissue, by histology and special stains. It is important to specify the fungal or bacterial etiology, because the treatment of each is completely different. The management of such infections is challenging and should involve early diagnosis, the use of antibacterials or antifungals, and surgical removal of the lesion. To the best of our knowledge, only seven cases of intracranial mycetoma have been reported. The present case highlights the rarity of this lesion, thereby contributing to the existing literature and presenting its diagnostic implications.

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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008