Maheshwari Shradha, Figueiredo Antonio, Narurkar Swati, Goel Atul
Department of Neurosurgery, Lilavati Hospital and Research Center, Mumbai, India.
World Neurosurg. 2010 Jan;73(1):69-71. doi: 10.1016/j.surneu.2009.06.014. Epub 2009 Oct 9.
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.
A 31-year-old non-immunocompromised 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.
A rare cranial extension of Madurella fungal infection is reported.
