Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report

Mycetoma is a chronic granulomatous subcutaneous infection caused by either true fungi (eumycetoma) or filamentous anaerobic bacteria (actinomycetoma). Herein, we report a case of mycetoma foot due to a rare opportunistic fungus in a male farmer. He presented with swelling and sinuses discharging pu...

Full description

Bibliographic Details
Main Authors: Vasudha A Belgaumkar, Ravindranath Brahmadeo Chavan, Vijay Vidyadhar Raut, Pallavi Prataprao Patil
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2020;volume=4;issue=2;spage=182;epage=185;aulast=Belgaumkar
_version_ 1818916069638668288
author Vasudha A Belgaumkar
Ravindranath Brahmadeo Chavan
Vijay Vidyadhar Raut
Pallavi Prataprao Patil
author_facet Vasudha A Belgaumkar
Ravindranath Brahmadeo Chavan
Vijay Vidyadhar Raut
Pallavi Prataprao Patil
author_sort Vasudha A Belgaumkar
collection DOAJ
description Mycetoma is a chronic granulomatous subcutaneous infection caused by either true fungi (eumycetoma) or filamentous anaerobic bacteria (actinomycetoma). Herein, we report a case of mycetoma foot due to a rare opportunistic fungus in a male farmer. He presented with swelling and sinuses discharging pus and bloodstained black granules on the right foot for 6 years. A final diagnosis of eumycetoma (caused by Alternaria alternata) with bone involvement in immunocompetent patient was confirmed on the basis of histopathology and culture. Opportunistic fungi most commonly cause infection in immunocompromised hosts. Although mycetoma caused by opportunistic and saprophytic fungi responds relatively well to systemic antifungal treatment, few cases such as ours might require amputation. Clinically, it is difficult to comprehend the exact etiological agent. Proper diagnosis and radiological investigation are necessary for the precise identification of the etiological agent and extent of spread which in turn dictate choice of treatment.
first_indexed 2024-12-20T00:12:19Z
format Article
id doaj.art-59879ab8816a4a44a4c1cdde40ef98e2
institution Directory Open Access Journal
issn 2542-551X
2542-5528
language English
last_indexed 2024-12-20T00:12:19Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Clinical Dermatology Review
spelling doaj.art-59879ab8816a4a44a4c1cdde40ef98e22022-12-21T20:00:28ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282020-01-014218218510.4103/CDR.CDR_26_19Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case reportVasudha A BelgaumkarRavindranath Brahmadeo ChavanVijay Vidyadhar RautPallavi Prataprao PatilMycetoma is a chronic granulomatous subcutaneous infection caused by either true fungi (eumycetoma) or filamentous anaerobic bacteria (actinomycetoma). Herein, we report a case of mycetoma foot due to a rare opportunistic fungus in a male farmer. He presented with swelling and sinuses discharging pus and bloodstained black granules on the right foot for 6 years. A final diagnosis of eumycetoma (caused by Alternaria alternata) with bone involvement in immunocompetent patient was confirmed on the basis of histopathology and culture. Opportunistic fungi most commonly cause infection in immunocompromised hosts. Although mycetoma caused by opportunistic and saprophytic fungi responds relatively well to systemic antifungal treatment, few cases such as ours might require amputation. Clinically, it is difficult to comprehend the exact etiological agent. Proper diagnosis and radiological investigation are necessary for the precise identification of the etiological agent and extent of spread which in turn dictate choice of treatment.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2020;volume=4;issue=2;spage=182;epage=185;aulast=Belgaumkaractinomycosisalternariaeumycetomamycetoma
spellingShingle Vasudha A Belgaumkar
Ravindranath Brahmadeo Chavan
Vijay Vidyadhar Raut
Pallavi Prataprao Patil
Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report
Clinical Dermatology Review
actinomycosis
alternaria
eumycetoma
mycetoma
title Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report
title_full Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report
title_fullStr Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report
title_full_unstemmed Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report
title_short Eumycetoma caused by Alternaria alternata in an immunocompetent host: A rare case report
title_sort eumycetoma caused by alternaria alternata in an immunocompetent host a rare case report
topic actinomycosis
alternaria
eumycetoma
mycetoma
url http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2020;volume=4;issue=2;spage=182;epage=185;aulast=Belgaumkar
work_keys_str_mv AT vasudhaabelgaumkar eumycetomacausedbyalternariaalternatainanimmunocompetenthostararecasereport
AT ravindranathbrahmadeochavan eumycetomacausedbyalternariaalternatainanimmunocompetenthostararecasereport
AT vijayvidyadharraut eumycetomacausedbyalternariaalternatainanimmunocompetenthostararecasereport
AT pallavipratapraopatil eumycetomacausedbyalternariaalternatainanimmunocompetenthostararecasereport