Surgical excision of scalp mycetoma due to Nocardia.
A 60-year-old patient presented with a mycetoma of the scalp with multiple chronic sinuses due to nocardiosis of the scalp. Recurrent bleeding from the sinuses necessitated surgical excision which led to a gratifying result. The case illustrates the importance of fungal culture in the diagnosis of cutaneous lesions and emphasises the role of surgery in mycetoma that are resistant to conventional therapy.
Madiba
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Department of Surgery, University of Natal Medical School.
Hoosen
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AA
Madaree
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A
Abdool Carrim
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AT
D006801:Humans; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D009617:Nocardia Infections / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D012008:Recurrence; D012536:Scalp Dermatoses / Q000150:complications / Q000382:microbiology / Q000473:pathology / Q000601:surgery*