To the Editor.—
Recently we saw a patient with mycetoma who had an unusual site of involvement and a peculiar mode of acquisition of infection. An excellent response to sulfone therapy was obtained.
Report of a Case
A 37-year-old man had complaints of indurated noduloulcerative lesions on the left shoulder, upper arm, and the left side of neck, chest, and back. Four years ago, following intramuscular injections of penicillin in the deltoid region, the patient developed a painless firm swelling at the site of injection, which gradually increased to involve the adjoining areas of shoulder, neck, and upper arm. At places, the nodules softened to burst on the surface, discharging seropurulent discharge without any granules. Before coming under our care, the patient had received antitubercular treatment, without any benefit.Examination revealed a healthy young man with multiple nodular, ulerative, fungating tumorous and cicatricial lesions present on the left side of
Kandhari KC, Bhutani LK, Girgla HS, et al. ACTINOMYCOTIC MYCETOMA. Arch Dermatol. 1971;104(6):686–687. doi:10.1001/archderm.1971.04000240110018
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