SCAPULO-THORACIC MYCETOMA - AN UNUSUAL LO CALIZATION, AN UNCOMMON FORM

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.