Madurella mycetoma—a rare case with cranial extension
Received 28 December 2008; accepted 11 June 2009. published online 12 October 2009.
Abstract
Background
Madurella species of fungus causes chronic subcutaneous infection of lower extremities; the infection is commonly labeled as Madura foot. We report a case of Madurella infection involving the cranial cavity. Such an involvement by Madurella fungal infection is not recorded in the literature.
Case description
A 31-year-old nonimmunocompromised male patient presented with complaints of left hemifacial pain for 1 year and diplopia on looking toward left side for a period of 2 weeks. On examination, he had ipsilateral sixth nerve paresis. Investigations revealed a large paranasal sinus lesion that extended in the cavernous sinus. The lesion was partially resected. Histologic examination revealed that the lesion was a fungus Madurella mycetomi.
Conclusion
A rare cranial extension of Madurella fungal infection is reported.
bHistopathology, Lilavati Hospital and Research Center, Mumbai 400 050, India
cDepartment of Neurosurgery, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai 400 012, India
dLilavati Hospital and Research Center, Mumbai 400 050, India
Corresponding author. Department of Neurosurgery, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai 400 012, India. Tel.: +91 022 24129884x2001.
ABSTRACT