The Aspergillus Niger Causing Eumycetoma in an Immunocompetent Host: Report of a Case and Review of the Literature

Abstract

Mycetoma is a chronic granulomatous infection of skin and subcutaneous tissues. It is a neglected disease with severe physical and psychological comorbidity burden as many cases end up with amputations. Proper diagnosis with tissue culture is lacking because of unavailability of facilities in remote areas. Eumycetoma by different Aspergillus species has already been reported in the literature for decades. But here, we are reporting a case of eumycetoma caused by Aspergillus niger, which is the first ever case-report to the best of our knowledge and search. Treatment with voriconazole 400 mg/day was successful without any major side-effects, and saved patient from amputation.

Keywords

• mycetoma, eumycetoma, aspergillus niger, voriconazole, dot-in-circle sign