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Recurrent Eumycetoma Caused by Novel Species Madurella Pseudomycetomatis: A Case Report Publisher



Borjian Boroujeni Z1 ; Hashemi SJ1 ; Daie Ghazvini R1 ; Khodavaisy S1 ; Zareei M2 ; Hosseinpour L1 ; Ardi P1 ; Shokri M2
Authors
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Authors Affiliations
  1. 1. Department of Medical Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, IR, Iran
  2. 2. Department of Health, Rescue and Treatment of IR Iran Police Force, Tehran, Iran

Source: Medical Mycology Case Reports Published:2019


Abstract

Mycetoma is a chronic-granulomatous disease characterized by the inflammation, swollen organ, draining sinuses containing blood, pus, and grains. We present a case of madura foot with novel etiologic agent Madurella pseudomycetomatis. Diagnosis was based on morphologic, physiologic, histipathologic and molecular methods. In vitro antifungal susceptibility tests revealed that MIC values for itraconazole, amphotericin B, and posaconazole were 0.0313 μg/ml, 0.0313 μg/ml, and 0.004 μg/ml, respectively. The patient was treated and recovered by itraconazole(400 mg/day) after prolonged course. © 2019