Imperative of Precision Diagnosis in Management of Gluteal Mycetoma: Case Report

Abstract

BODY: A 48 year old civil servant who had four year copious discharge from multiple left gluteal sinuses is presented. He had had traditional herbal treatment self medication and empirical antituberculous treatment. Plain X-ray of pelvis, sinogram and detailed mycotic studies enabled diagnosis of actinomyces isreali. A course of co-trimoxazole was efficacious in drying up the discharge, healing of the sinuses and reversal of the patients’ early depressive overlay. Precise etiologic diagnosis in Mycetoma located at unusual site would enable direct efficacious antimicrobial treatment since the lesions are caused by different organisms.