Madurella mycetoma—a rare case with cranial extension

Abstract 

Background

Madurella species of fungus causes chronic subcutaneous infection of lower extremities; the infection is commonly labeled as Madura foot. We report a case of Madurella infection involving the cranial cavity. Such an involvement by Madurella fungal infection is not recorded in the literature.

Case description

A 31-year-old nonimmunocompromised male patient presented with complaints of left hemifacial pain for 1 year and diplopia on looking toward left side for a period of 2 weeks. On examination, he had ipsilateral sixth nerve paresis. Investigations revealed a large paranasal sinus lesion that extended in the cavernous sinus. The lesion was partially resected. Histologic examination revealed that the lesion was a fungus Madurella mycetomi.

Conclusion

A rare cranial extension of Madurella fungal infection is reported.

Abbreviations: CNS, central nervous system, MRI, magnetic resonance imaging

Keywords: Fungal infection, Cavernous sinus, Madurella mycetoma