title: Late complication after tropic storm accident: subcutaneous and intracranial actinomycetoma.
abstract: We report a 53-year-old farmer who developed subcutaneous and cerebral masses 24 years after penetrating trauma during a tropic storm. Computed tomography scans, magnetic resonance imaging and histopathology disclosed actinomycetoma, a disease that rarely develops after trauma and is only occasionally seen with intracranial manifestation. Clinically, the cutaneous manifestation resembled acne keloidalis nuchae or dissecting folliculitis of the scalp. He was treated by neurosurgery and antibiosis.
authors.affiliation: Amee Society, Diwalipura, Vadodara, India.
authors.forename: Shyam B
authors.initials: SB
authors.lastname: Verma
authors.forename: Suresh
authors.initials: S
authors.lastname: Nayak
authors.forename: Ravindra K
authors.initials: RK
authors.lastname: Pasale
authors.forename: Thomas
authors.initials: T
authors.lastname: Kittner
authors.forename: Uwe
authors.initials: U
authors.lastname: Wollina
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D001922:Brain Abscess / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003399:Craniotomy; D055867:Cyclonic Storms; D004190:Disasters; D020197:Head Injuries, Penetrating / Q000150:complications*; D006801:Humans; D007194:India; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D009778:Occipital Lobe; D010296:Parietal Lobe; D035583:Rare Diseases; D012307:Risk Factors; D012536:Scalp Dermatoses / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013492:Suppuration; D013997:Time Factors; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents