Basidiobolomycosis Simulating a Mycobacterium ulcerans Infection in a Togolese Rural Child

Joint Authors

Akakpo, Sefako
Kombaté, Koussaké
Gnassingbe, Waguena
Mahamadou, Garba
Teclessou, Julienne
Abilogun-Chokki, Aurel
Mouhari-Toure, Abas
Pitche, Palokinam
Saka, Bayaki

Source

Case Reports in Dermatological Medicine

Issue

Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2017-10-17

Country of Publication

Egypt

No. of Pages

3

Main Subjects

Diseases

Abstract EN

Background.

Basidiobolomycosis is a deep mycosis which preferentially affects rural young people in tropical countries.

We report an atypical case, with multiple ulcers, simulating a Buruli ulcer.

Case Report.

A 5-year-old boy, living in a rural area, was seen for ulcers on the buttocks and at the back and right flank that had been in progress for 4 months.

On examination, we found an infiltrated plaque with sharp edges, little painful, located on the buttocks, back, and the right flank.

On this plaque, there were multiple ulcers with polycyclic contours and fibrinous bottom.

There were inguinal inflammatory lymph nodes.

The patient had an altered general condition.

Examination of other organs was normal.

The diagnosis of Buruli ulcer was evoked first; the search for Mycobacterium ulcerans by polymerase chain reaction was negative.

Histology test performed revealed hypodermic granulomatous inflammation with predominant macrophage and eosinophils.

The mycological culture was not done.

The child was treated successfully with ketoconazole (10 mg/kg/day) during eight weeks.

Discussion.

Our observation shows great clinical and epidemiological similarities between basidiobolomycosis and Buruli ulcer.

It confirms the efficacy of ketoconazole in severe basidiobolomycosis infection with alteration of general condition.

Histopathology is very important for differential diagnosis between these two diseases.

American Psychological Association (APA)

Saka, Bayaki& Gnassingbe, Waguena& Mahamadou, Garba& Akakpo, Sefako& Teclessou, Julienne& Abilogun-Chokki, Aurel…[et al.]. 2017. Basidiobolomycosis Simulating a Mycobacterium ulcerans Infection in a Togolese Rural Child. Case Reports in Dermatological Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144995

Modern Language Association (MLA)

Saka, Bayaki…[et al.]. Basidiobolomycosis Simulating a Mycobacterium ulcerans Infection in a Togolese Rural Child. Case Reports in Dermatological Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1144995

American Medical Association (AMA)

Saka, Bayaki& Gnassingbe, Waguena& Mahamadou, Garba& Akakpo, Sefako& Teclessou, Julienne& Abilogun-Chokki, Aurel…[et al.]. Basidiobolomycosis Simulating a Mycobacterium ulcerans Infection in a Togolese Rural Child. Case Reports in Dermatological Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1144995

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1144995