title: Black grain mycetoma caused by Leptosphaeria tompkinsii.
abstract: Leptosphaeria tompkinsii is a dematiaceous fungus which is rarely reported as an agent of black-grain mycetoma. We present a case involving a mycetoma of the hand of a former farmer from Mali, West Africa, who has been a resident in France for 27 years. The patient was successfully treated with surgery and the use of oral itraconazole for 6 months. Species identification was based on sexual reproductive structures observed on potato-carrot agar media and the use of internal transcribed spacer sequencing.
authors.affiliation: Parasitology-Mycology Unit, Hôpital Delafontaine, Saint-Denis, France. nadine.godineau@gmail.com
authors.forename: H
authors.initials: H
authors.lastname: Machmachi
authors.forename: N
authors.initials: N
authors.lastname: Godineau
authors.forename: M
authors.initials: M
authors.lastname: Develoux
authors.forename: S
authors.initials: S
authors.lastname: Bretagne
authors.forename: A
authors.initials: A
authors.lastname: Bazeli
authors.forename: D
authors.initials: D
authors.lastname: Amsellem
authors.forename: M
authors.initials: M
authors.lastname: Desnos-Ollivier
authors.forename: J B
authors.initials: JB
authors.lastname: Poirat
mesh_terms: D000328:Adult; D000383:Agriculture; D000935:Antifungal Agents / Q000008:administration & dosage; D001203:Ascomycota / Q000145:classification / Q000302:isolation & purification*; D003646:Debridement; D006225:Hand / Q000382:microbiology / Q000473:pathology; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage; D008297:Male; D008302:Mali; D008853:Microscopy; D008271:Mycetoma / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D009172:Mycology / Q000379:methods
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole