Eumycotic Mycetoma
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- Pseudoallescheria boydii, Curvularia geniculata, Cochliobolus spicifer, Helminthosporium spp.
- Lives in soil
- Enters the body via wounds
- Granulomatous abscesses
- Microcolonies can be seen grossly in exudate or lesions
- Grains or granules
- Brown or black embedded in granulation tissue
- Small, irregularly shaped
- Infrequent infections of dogs, cats, cattle and horses
- Usually affect the extremities
- Can infect the nasal mucosa
- E.g. Bovine nasal granuloma
- Can also infect the peritoneum and skin
- Can infect the nasal mucosa
- Microscopically:
- Grains of maduromycosis with wide mycelia (compared to actinomycotic granules)
- Chlamydospores present
- Grows on Sabauraud's Dextrose agar
- Slow
- Takes 2-3 weeks
- Treatment includes Ketoconazole, 5-fluorocytosine and amphotericin B