title: [Thoracic tumor-like fungal mycetoma: interest of large surgery with terbinafine].
abstract: Fungal mycetoma are inflammatory pseudo-tumors of subcutaneous tissues and possibly bones due to exogenous fungi. They have a chronic course, often poly-fistulated with an emission of fungal grains. We report the case of a 65-year-old farmer with a thoracic fungal mycetoma discovered incidentally, associated with bone involvement. The diagnosis was confirmed by the positive culture to Madurella mycetomatis. The outcome was favorable with terbinafine 1g per day for 12 months associated with complete excision of oncologic type followed by a skin graft.
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal. Electronic address: ahydiatta@yahoo.com.
authors.forename: B A
authors.initials: BA
authors.lastname: Diatta
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal.
authors.forename: M
authors.initials: M
authors.lastname: Ndiaye
authors.affiliation: Service d'orthopédie-traumatologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: L
authors.initials: L
authors.lastname: Sarr
authors.affiliation: Laboratoire de parasitologie et mycologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: B J M
authors.initials: BJ
authors.lastname: Diatta
authors.affiliation: Service d'orthopédie-traumatologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: A B
authors.initials: AB
authors.lastname: Gueye
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal.
authors.forename: A
authors.initials: A
authors.lastname: Diop
authors.affiliation: Service d'orthopédie-traumatologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: M
authors.initials: M
authors.lastname: Bangoura
authors.affiliation: Service d'orthopédie-traumatologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: A B
authors.initials: AB
authors.lastname: Diouf
authors.affiliation: Service d'orthopédie-traumatologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: H
authors.initials: H
authors.lastname: Djioumoi
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal.
authors.forename: H
authors.initials: H
authors.lastname: Hakim
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal.
authors.forename: M
authors.initials: M
authors.lastname: Diallo
authors.affiliation: Service d'orthopédie-traumatologie, CHU Aristide-Le Dantec, BP 3001, Dakar, Sénégal.
authors.forename: A D
authors.initials: AD
authors.lastname: Sané
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal.
authors.forename: M T
authors.initials: MT
authors.lastname: Dieng
authors.affiliation: Service de dermatologie, CHU Aristide-Le Dantec, 30, avenue Pasteur, BP 3001, Dakar, Sénégal.
authors.forename: A
authors.initials: A
authors.lastname: Kane
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D033162:Incidental Findings; D020461:Madurella / Q000302:isolation & purification*; D008297:Male; D008271:Mycetoma / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D009281:Naphthalenes / Q000627:therapeutic use*; D016038:Skin Transplantation; D000077291:Terbinafine; D013896:Thoracic Diseases / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D013899:Thoracic Neoplasms / Q000175:diagnosis
chemical_list: D009281:Naphthalenes; D000077291:Terbinafine
keywords: Back; Dos; Fungal mycetoma; Madurella mycetomatis; Mycétome fongique; Senegal; Sénégal