Cerebral mycetoma with cranial osteomyelitis.
Craniocerebral maduromycetoma is extremely rare. The authors describe a case of maduromycetoma involving the left parietal cortex, bone, and subcutaneous tissue in a young male farm laborer who presented with left parietal scalp swelling that had progressed into a relentlessly discharging sinus. Computed tomography (CT) scanning of his brain revealed osteomyelitis of the parietal bone with an underlying homogeneously enhancing tumor. Intraoperatively, the mass was revealed to be a black lesion involving the bone, dura mater, and underlying cerebral cortex. It was friable and separated from the surrounding brain by a thick gliotic scar. Gross-total excision was performed, and the patient was placed on a 6-week regimen of itraconazole. To the authors' knowledge, this is the first instance of cerebral mycetoma with CT findings reported in the literature.
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, India.
Vamseemohan
V
Beeram
Sundaram
S
Challa
Prasad
P
Vannemreddy
D000293:Adolescent; D001927:Brain Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D020314:Central Nervous System Fungal Infections / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D020461:Madurella; D008297:Male; D008271:Mycetoma / Q000175:diagnosis* / Q000628:therapy; D010019:Osteomyelitis / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D010294:Parietal Bone