A Rare Case of Actinomycotic Mycetoma of Wrist

Abstract

Mycetoma is a chronic, slowly progressing granulomatous subcutaneous infection caused by true fungi (eumycetoma) or filamentous bacteria (actinomycetoma). The present case report is a rare case of Actinomycotic Mycetoma involving wrist due to Streptomyces species. A 53-year-old male presented with multiple swellings over the right wrist and forearm with sinuses discharging seropurulent pus since 3 years. Patient underwent incision and drainage and appropriate antibiotic course after the complete diagnosis. This case report emphasises the role of meticulous clinical examination assisted by microbiological cultures and histopathological studies which are mandatory in the diagnosis, management and assessment of the prognosis of such unusual cases.

Keywords

• eumycetoma
• granulomatous
• madura foot
• streptomyces
• subcutaneous