Eumycetoma: A Perspective for Military Primary Care
Abstract
This is a case report of a 42-year-old woman who presented to a clinic with a history of progressive left foot and ankle swelling. She had a suspected history of myectoma, but had never been officially diagnosed despite repeated cultures and debridements over the course of decades. The inciting event occurred approximately 30 years prior in her home country of Belize. Her wound culture revealed Scedosporium apiospermum as the causative agent. Treatment included surgical debridement and oral antifungal therapy. This case represents an interesting adjunct to the differential diagnosis for military physicians, as mycetomas are prevalent in many of the areas where our forces are deployed and may only present after the service member has left active service because of its naturally indolent course.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Jan 01, 2022
- Source ID
- 10.1093/milmed/usaa575
Entities
People
- Christa Eickhoff Md, Usn
- Jonathan Vignali Md, Usa
- Joshua Tunnage Do, Usa
Organizations
- Naval Medical Center Portsmouth
- Walter Reed Army Institute of Research
- Walter Reed National Military Medical Center