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.
Beeram
Vamseemohan
V
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, India.
Challa
Sundaram
S
Vannemreddy
Prasad
P
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