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Mycetoma or pseudomycetoma?

A distinctive mycosis caused by dermatophytes

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Abstract

A 13-year old black girl presented with an unusual scalp lesion felt to be compatible with mycotic granuloma. She had undergone surgery two years earlier for removal of three similar scalp lesions. Material excised during surgical removal of the cyst-like lesion again revealed histopathology compatible with mycotic granuloma. Surgical material cultured out pure growth of a fungus identified as Microsporum canis Bodin. Subsequent histopathological study of the infected tissue resulted in a diagnosis of dermatophytic ‘mycetoma’. The disease will be reviewed and discussed as regards its nomenclature, histopathology and salient clinical features.

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References

  1. Ajello, L., Kaplan, W. & Chandler, F. W., 1980. Dermatophyte mycetomas: fact or fiction? pp. 135–140. In: Proc. Fifth Intl. Conf. Mycoses. Pub. No. 396, Pan American Health Organization, Washington, D.C.

    Google Scholar 

  2. Araviysky, A. N., Araviysky, R. A. & Eschov, G. A., 1975. Deep generalized trichophytosis. Mycopathologia 56: 47–65.

    Google Scholar 

  3. Araviysky, A. N., 1977. Endotriche als Erreger einer tiefen Mykose. Mykosen 20: 449–462.

    Google Scholar 

  4. Artom, M., 1933. Imponenti formazioni tumorali profonde da Trichophyton in tricofizia universale. Giorn. Italiano Derm. Sifilo 74: 563–582.

    Google Scholar 

  5. Azulay, R. D., 1957. Contribution to the problem of dermatomycosis classification. A new clinical type of trichophytic granuloma. pp. 1184–1196. In: Proc. Eleventh Intl. Cong. Dermatol. Acta. Dermatol. Venereol.

  6. Baker, R. D., 1971. Human infection with fungi, actinomycetes, and algae. Springer-Verlag, New York.

    Google Scholar 

  7. Baylet, R., Camain, R., Juminer, B. et al., 1973. Microsporum ferrugineum OTA, 1921, agent de mycetomes du cuir chevelu en Afrique noire. Pathologie-Biologie 21: 5–12.

    Google Scholar 

  8. Beirana, L. & Novales, J., 1959. Tinea universal y granulomatosa por Trichophyton tonsurans. Derm Rev. Mex. 3: 4–16.

    Google Scholar 

  9. Blanche, R., Destombes, R. & Nazimoff, O., 1961. Novelles mycoses souscutanees au Sud-Cameroun. Bull. Soc. Path. Exotique 54: 56–63.

    Google Scholar 

  10. Blank, H. & Smith, J. G., 1960. Widespread Trichophyton rubrum granulomas treated with griseofulvin. Arch Dermatol. 81: 779–789.

    Google Scholar 

  11. Bourdin, M., Destombes, P., Parodi, A. L. et al., 1975. Première observation d'un mycetoma a Microsporum canis chez un chat. Rev. Med. Vet. 151: 475–480.

    Google Scholar 

  12. Burgoon, C. F., Blank, F., Johnson, W. C. et al., 1974. Mycetoma formation in Trichophyton rubrum infection. Br. J. Dermatol. 90: 155–162.

    Google Scholar 

  13. Camain, R., Baylet, R., Nouhouayi, Y. et al., 1971. Note sur les mycetomes de la nuque et du cuir chevelu de L'Africain. Bull. Soc. Pathol. Exotique 64: 447–454.

    Google Scholar 

  14. Cremer, G., 1953. A special granulomatous form of mycosis on the lower legs caused by Trichophyton rubrum Castellani. Dermatologica 107: 28–37.

    Google Scholar 

  15. Destombes, P., 1964. Structure histologique des mycetomes. Ann. Soc. Belge. Med. Trop. 44: 897–908.

    Google Scholar 

  16. English, M. P. & Tucker, W. D. L., 1978. Atypical strains of Microsporum canis. Mycopathologia 63: 113–120.

    Google Scholar 

  17. English, M. P., 1978. The dysogonic strain of Microsporum canis. Mycopathologia 64: 73–81.

    Google Scholar 

  18. English, M. P., Gentles, J. C. & Ball, E. H., 1979. Experimental infection of guinea-pigs with atypical and dysgonic strains of Microsporum canis. Mycopathologia 67: 179–181.

    Google Scholar 

  19. Feuerman, E. J. & Alteras, I., 1980. Some unusual cutaneous manifestations of Trichophyton rubrum in Israel. Mykosen 23: 619–626.

    Google Scholar 

  20. Frey, D. & Lewis, M. B., 1976. Mycetoma of the scalp in an aboriginal child. Aust. J. Dermatol. 17: 7–9.

    Google Scholar 

  21. Fukushiro, R., 1960. Deep mycoses in Japan, J. Juzen Med. Soc. 65: 341–356.

    Google Scholar 

  22. Gomez Orbaneja, J. et al., 1967. Favus generalizado. Forma granulomatosa. Acta Dermo-Sif 58: 339–346.

    Google Scholar 

  23. Grimmer, H., 1974. Mykotisches Granulom durch Trichophyton terrestre. Mykosen 17: 333–338.

    Google Scholar 

  24. Hadida, E. & Schousboe, A., 1959. Aspect de la maladie dermatophytique. Algerie Médicale. Avril, pp. 303–336.

  25. Honig, P. J. & Smith, L. R., 1979. Tinea capitis masquerading as atopic or seborrheic dermatitis. J. Pediatrics 94: 604–605.

    Google Scholar 

  26. Kaplan, W., 1978. Protothecosis and infections caused by morphologically similar green algae. pp. 218–232. In: Proc. Fourth Intl. Conf. Mycoses. Publ. No. 356. Pan American Health Organization, Washington, D.C.

    Google Scholar 

  27. Kwon-Chung, K. J., Bonder, R. H., Fethier, A. & Blank, F., 1977. Enigmatic relationship of two Microsporum species. Sabouraudia 15: 325–332.

    Google Scholar 

  28. Kwon-Chung, K. J. & West, B. C. Mycetoma caused by dermatophytes: a review. Proc. First Intl. Symp. Mycetomas, Venezuela (in press).

  29. Liber, A. F. & Hahn Choi, H.-S., 1973. Splendore-Hoeppli phenomenon about silk sutures in tissue. Arch. Pathol. 95: 217–220.

    Google Scholar 

  30. Majocchi, D., 1883. Sopra una nuova tricofizia (granuloma tricofitico). Studi clinici e micologici. Boll. R. Accad. Med. Roma. 9: 220–223.

    Google Scholar 

  31. Meinhoff, W. et al., 1976. Multiple subkutane Trichophyton rubrum Abszesse. Pathomorphose einer generalisierten superfiziellen Tinea bei gestörter Injektabsehr. Hautartz 27: 318–327.

    Google Scholar 

  32. Midgley, G., 1981. A glabrous Microsporum canis in greater London. Sabouraudia 19: 71–77.

    Google Scholar 

  33. Mikhail, G. R., 1974. Trichophyton rubrum granuloma. pp. 742–743. In: Dermatology — Proc. XIV Intl. Cong.

  34. Padilha-Goncalves, A., 1980. Granulomatous dermatophytia. pp. 141–147. In: Proc. Fifth Intl. Conf. Mycoses. Publ. No. 396, Pan American Health Organization, Washington, D.C.

    Google Scholar 

  35. Ramose e Silva, J., 1949. Sobre e etiologia de foliculite e perfoliculite abscedens et suffodiens. An. Bras. Dermatol. Syph. 24: 188.

    Google Scholar 

  36. Rippon, J. W., 1974. Medical Mycology. The pathogenic fungi and the pathogenic Actinomycetes. W. B. Saunders, Philadelphia, Pennsylvania.

    Google Scholar 

  37. Segal, E., Padhye, A. A. & Ajello, L., 1976. Susceptibility of Prototheca species to antifungal agents. Antimicrob. Ag. Chemother. 10: 75–79.

    Google Scholar 

  38. Shetsiruli, L. T., 1974. Mycotic infections of skin caused by Trichophyton rubrum simulating various dermatoses and other fungus diseases. In: Dermatology — Proc. XIV Intl. Cong. p. 748.

  39. Vanbreuseghem, R. & Vandeputte, M., 1959. Mycetome de la nuque chez Noir du Congo belge. Ann. Soc. Belge. Med. Trop. 39: 227–238.

    Google Scholar 

  40. West, B. C. & Kwon-Chung, K. J., 1980. Mycetoma caused by Microsporum audouinii. Am. J. Clin. Pathol. 73: 447–454.

    Google Scholar 

  41. Wilson, J. W., 1952. Trichophytic granuloma (Tinea profunda) due to Trichophyton rubrum. Arch. Dermatol. 65: 375–376.

    Google Scholar 

  42. Wilson, J. W., Plunket, O. A. et al., 1954. Nodular granulomatous perifolliculitis of the legs caused by Trichophyton rubrum. Arch. Dermatol. Syphilol. 69: 258–277.

    Google Scholar 

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Rinaldi, M.G., Lamazor, E.A., Roeser, E.H. et al. Mycetoma or pseudomycetoma?. Mycopathologia 81, 41–48 (1983). https://doi.org/10.1007/BF00443908

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