Eumycetoma Osteomyelitis of the Calcaneus in a Child: A Radiologic-Pathologic Correlation following Total Calcanectomy

@article{ElSobky2015EumycetomaOO,
  title={Eumycetoma Osteomyelitis of the Calcaneus in a Child: A Radiologic-Pathologic Correlation following Total Calcanectomy},
  author={Tamer A. El-Sobky and John Fathy Haleem and Shady Samir},
  journal={Case Reports in Pathology},
  year={2015},
  volume={2015}
}
Fungi are unusual causes of pedal osteomyelitis in children and adolescents. Eumycetoma is a chronic cutaneous and subcutaneous infection caused by various genera of fungi. A provisional diagnosis of foot mycetoma is made after clinical assessment. Radiologic-pathologic correlation is an essential supplement for the accurate diagnosis of osteoarticular infections. This paper aims to sensitize orthopedic surgeons, radiologists, and pathologists to the importance of correlative imaging findings… 

Figures from this paper

A Rare Case Report of Eumycetoma Osteomyelitis of Hand

A case of eumycetoma osteomyelitis of the hand is described, most probably acquired by traumatic inoculation of certain fungi into subcutaneous tissue by free living, exogenous, geophilic actinomycetes and fungi.

The Surgical Treatment of Mycetoma

Surgical intervention in mycetoma is associated with considerable morbidity, deformities, and disabilities, particularly in advanced disease, which can be reduced by educating patients to seek medical advice earlier when the lesion is small, localised, and amenable to surgery.

Surgical management of eumycetoma: experience from Gezira Mycetoma Center, Sudan

The commonest procedure in this series was WSE and primary skin closure undertaken when the lesion was small (< 5 cm); there was no bone involvement, and the skin closure was achievable.

A scoping review of mycetoma profile in Egypt: revisiting the global endemicity map.

The incidence of mycetoma in Egypt is higher than previously reported and is probably a low-endemic country, but an accurate estimate of the prevalence and epidemiology of the disease necessitates further research collaboration.

Deep Fungal Infections

References

SHOWING 1-10 OF 22 REFERENCES

New radiographic classification of bone involvement in pedal mycetoma.

The pattern, extent, and severity of bone involvement in mycetoma of the foot is classified to indicate the presence of soft-tissue swelling without bone involvement and multidirectional spread due to uncontrolled infection is classified as stage VI.

The “Dot in Circle” Sign on MRI in Maduramycosis: A Characteristic Finding

A case of mycetoma foot with characteristic MRI features is presented and the recently described “dot in circle” sign on magnetic resonance imaging (MRI) is easy to recognize and highly specific.

New MRI grading system for the diagnosis and management of mycetoma.

The dot-in-circle sign of mycetoma on MRI.

A case of mycetoma of the thigh with characteristic MRI features is presented and the dot-in-circle sign is a recently proposed magnetic resonance imaging (MRI) sign of myCetoma, which is likely to be highly specific.

[Management of mycetoma in West-Africa].

Mycetoma is still endemic in the northern areas of West-Africa and this infection is more common in males, rural inhabitants, between 20 and 40 years of age, it is a chronic subcutaneous inflammatory tumor with discharging sinuses.

Case report: Dot-in-circle sign - An MRI and USG sign for “Madura foot”

A case of histologically proven mycetoma that demonstrated the “dot-in-circle” sign has recently been proposed as a highly specific magnetic resonance imaging (MRI) and ultrasonography (USG) sign of myCetoma, which may allow a noninvasive as well as early diagnosis.

Management of mycetoma: major challenge in tropical mycoses with limited international recognition

It is vital to initiate multicenter collaborations on national and international levels to develop consensus clinical score sheets and state-of-the-art treatment regimens for mycetoma patients.

The "dot-in-circle" sign -- a characteristic MRI finding in mycetoma foot: a report of three cases.

MRI showed conglomerate areas of small round discrete T(2) weighted hyperintense lesions, representing granulation tissue surrounded by a low-signal-intensity rim representing intervening fibrous septa, which gives rise to the "dot-in-circle" sign.

Radiologic-Pathologic Correlations from Head to Toe: Understanding the Manifestations of Disease

Neuroradiology: Central Nervous System: CNS Infections Extra-axial, Sellar and Juxtasellar Tumors Hemispheric Brain Tumors Head and Neck Radiology: Infrahyoid Neck: CT and MR Imaging versus

Merits and Pitfalls of Currently Used Diagnostic Tools in Mycetoma

There is no ideal diagnostic tool available to identify the causative agents of mycetoma and that future research should focus on the development of new and reliable diagnostic tools.