“Madura Head”—A Rare Case of Craniocerebral Maduromycosis

Abstract

As maduromycosis is mostly confined to lower extremities. It was rightly named as “Madura foot” by John Gill in 1842, after the name of Madurai district, in Tamil Nadu state of India. Mycetoma is a chronic granulomatous infection mostly caused by a true fungus, Madurella mycetomatis (Eumycotic mycetoma). Craniocerebral involvement by eumycotic mycetoma is rare in world literature and confined to few case reports only. Here we present an interesting case of craniocerebral maduromycosis presenting with focal seizure, hemiparesis, and multiple discharging sinuses all over the scalp. The patient was diagnosed by histopathologic biopsy and managed conservatively with antifungal medications in view of widespread involvement of the scalp, not amenable to surgery.

Keywords

• craniocerebral maduromycosis
• madura head
• “dot-in-circle” sign