title: [Multiple sites extrapodal actinomycetoma: Favorable outcome to treatment with a combination of cotrimoxazole and NSAI].
abstract: Mycetoma is a bacteriological or fungal infectious disease affecting the skin and/or soft tissues, which can be complicated by bone involvement. The most common feature is a tumor of the foot, but extrapodal localizations have been described. We report one case of a 47-year-old man who presented with tumefaction of a leg with multiple skin fistulae. Histopathological examination permitted to confirm the diagnosis of actinomycetoma and TDM showed the degree of bone and soft tissues involvement. Our case was characterized by the very inflammatory aspect of the tumor, its localization to the leg without foot involvement, the modest functional signs compared to the importance of radiological bone involvements, the deep destruction of the fibula while the tibia was apparently intact and the good response to treatment. In spite of its characteristic features, diagnosis of mycetoma is still late in our country, often with bone and/or articular spread. Priority may be given to measures for reduction of mycetoma diagnosis lateness.
authors.affiliation: Service de dermatologie du centre hospitalier universitaire Sanou Sourô, Bobo-Dioulasso, Burkina Faso.
authors.forename: B
authors.initials: B
authors.lastname: Diallo
authors.affiliation: Service de dermatologie du centre hospitalier universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
authors.forename: F
authors.initials: F
authors.lastname: Barro-Traoré
authors.affiliation: Service de parasitologie-mycologie du centre hospitalier universitaire Sanou Sourô, Bobo-Dioulasso, Burkina Faso; Service d'imagerie médicale du centre hospitalier universitaire Sanou Sourô, Bobo-Dioulasso, Burkina Faso. Electronic address: hsaata@yahoo.fr.
authors.forename: S
authors.initials: S
authors.lastname: Bamba
authors.affiliation: Service d'anatomie pathologique du centre hospitalier universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Sanou-Lamien
authors.affiliation: Service d'imagerie médicale du centre hospitalier universitaire Sanou Sourô, Bobo-Dioulasso, Burkina Faso.
authors.forename: S S
authors.initials: SS
authors.lastname: Traoré
authors.affiliation: Service de dermatologie du centre hospitalier universitaire Sanou Sourô, Bobo-Dioulasso, Burkina Faso.
authors.forename: J-B
authors.initials: JB
authors.lastname: Andonaba
authors.affiliation: Service de dermatologie du centre hospitalier universitaire Sanou Sourô, Bobo-Dioulasso, Burkina Faso.
authors.forename: I
authors.initials: I
authors.lastname: Konaté
authors.affiliation: Service de dermatologie du centre hospitalier universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
authors.forename: P
authors.initials: P
authors.lastname: Niamba
authors.affiliation: Service de dermatologie du centre hospitalier universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Traoré
authors.affiliation: Service de parasitologie-mycologie de l'institut supérieur des sciences de la santé, université polytechnique de Bobo-Dioulasso, Bobo-Dioulasso, Burkina Faso.
authors.forename: T R
authors.initials: TR
authors.lastname: Guiguemdé
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D001850:Bone Diseases, Infectious / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D017577:Cutaneous Fistula / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D057210:Delayed Diagnosis; D004008:Diclofenac / Q000627:therapeutic use*; D006801:Humans; D007866:Leg / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000150:complications / Q000188:drug therapy* / Q000473:pathology; D010014:Osteolysis / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D016896:Treatment Outcome; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use*
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
keywords: Actinomycosique; Actinomycotic; Atteinte osseuse; Bone involvement; Jambe; Leg; Mycetoma; Mycétome