Mh. Sy et al., SCAPULO-THORACIC MYCETOMA - AN UNUSUAL LO CALIZATION, AN UNCOMMON FORM, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur, 84(4), 1998, pp. 368-372
Introduction An uncommon form and a rare localization of mycetoma is r
eported, The aim of this report was to distinguish this inhabitual for
m of mycetoma from some tropical diseases like onchocerca and other fu
ngal diseases. Case report A 55 year old man was admitted 10 years aft
er a septic worm-hole for a scapulo-thoracic tumor, This encapsulated
mass was a bending and rounded polyfistular one attached to the dorsal
aspect of left shoulder, The fistula discharge a serosanguineous or p
urulent exsudate. The caracteristic red granule was not visible, The t
umor was removed and histological examination was performed. A typical
granuloma of red granule of streptomyces pelletieri was found. A good
result was obtained with associated cotrimoxazole treatment, Discussi
on Scapulo-thoracic form included: scapular, axillary and chest form o
f mycetoma, All these localizations are rare. One of them can be compl
icated by osteitis or pleuro-pulmonary localization, Streptomyces pell
itieri is the actinomycetic causal agent. This encapsulated form is un
common. Conclusion Scapulo-thoracic mycetoma is rare. Encapsulated and
pedicular form is uncommon, Around Sahel areas, differential diagnosi
s must be evocated such as parasitic and mycobacterial infections.