Verma Shyam B, Nayak Suresh, Pasale Ravindra K, Kittner Thomas, Wollina Uwe
Amee Society, Diwalipura, Vadodara, India.
Int Wound J. 2008 Dec;5(5):655-9. doi: 10.1111/j.1742-481X.2008.00456.x. Epub 2008 Sep 19.
We report a 53-year-old farmer who developed subcutaneous and cerebral masses 24 years after penetrating trauma during a tropic storm. Computed tomography scans, magnetic resonance imaging and histopathology disclosed actinomycetoma, a disease that rarely develops after trauma and is only occasionally seen with intracranial manifestation. Clinically, the cutaneous manifestation resembled acne keloidalis nuchae or dissecting folliculitis of the scalp. He was treated by neurosurgery and antibiosis.