Unusual Presentation of Madurella Mycetomatis Mycetoma in a Paediatric Patient in India.
agent 9 Exophiala Ketoconazole Cured jeanselmei and surgical curettage 10 Agent not Ketoconazole Not known identified 11 Candida Amphotericin Died albicans B + Fluconazole 12 Madurella Voriconazole Relapsed mycetomatis + surgical after six debridement months and refused for further treatment
(1) The most common organisms involved in the development of this condition include the fungus
Madurella mycetomatis and the Actinomycetes Nocardia Brasieliensis, Actinomadura madurae and Actinomadura pelletieri.
Among the more important human pathogens are Alternaria species, Bipolaris species, Cladophialophora bantiana, Curvularia species, Exophiala species, Fonsecaea pedrosoi,
Madurella species, Phialophora species, Scedosporium prolificans, Scytalidium dimidiatum, and Wangiella dermatitidis.
Black grains are produced in infection with
Madurella spp.
Among them are
Madurella mycetomi,
Madurella grisea, Allescheria boydii, Cephalosporium sp., Phialophora jeanselmei, Pyrenochaeta romeroi, Leptosphaeria senegalensis, and Neotestudina rosatti.
Another fungus,
Madurella, can erode human bones until they look moth eaten.
Mycetoma caused by
Madurella mycetomatis: A neglected infectious burden.
In this study we found 1 case of bacteria namely Nocardiaasteroides, and 3 fungi namely
Madurella species.
