[Scapulo-thoracic mycetoma. A rare localization, a particular form].
BACKGROUND
An uncommon form and a rare localization of mycetoma is reported. The aim of this report was to distinguish this inhabitual form of mycetoma from some tropical diseases like onchocerca and other fungal diseases.


METHODS
A 55 year old man was admitted 10 years after a septic worm-hole for a scapulo-thoracic tumor. This encapsulated mass was a bending and rounded polyfistular one attached to the dorsal aspect of left shoulder. The fistula discharge a serosanguineous or purulent exudate. The characteristic red granule was not visible. The tumor was removed and histological examination was performed. A typical granuloma of red granule of streptomyces pelletieri was found. A good result was obtained with associated cotrimoxazole treatment.


CONCLUSIONS
Scapulo-thoracic form included: scapular, axillary and chest form of mycetoma. All these localizations are rare. One of them can be complicated by osteitis or pleuro-pulmonary localization. Streptomyces pellitieri is the actinomycetic causal agent. This encapsulated form is uncommon.


CONCLUSIONS
Scapulo-thoracic mycetoma is rare. Encapsulated and pedicular form is uncommon. Around Sahel areas, differential diagnosis must be evoked such as parasitic and mycobacterial infections.
Sy
M H
MH
Service d'Orthopédie et de Traumatologie, C.H.U. Le Dantec, Dakar, Sénégal.
Diouf
S
S
Ndiaye
A
A
Dansokho
A V
AV
Ndiaye
P D
PD
Diop
C A
CA
Sèye
S I
SI
D003881:Dermatomycoses / Q000145:classification / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000145:classification / Q000382:microbiology / Q000473:pathology*; D012782:Shoulder; D013302:Streptomyces / Q000302:isolation & purification
Mycétome scapulo-thoracique. Une localisation rare, une forme particulière.