Eumycetoma Osteomyelitis Calcaneus in Adolescent; Report of Case and Review in Literature.

Abstract Background: Mycetoma is the most common deep mycosis in humans. It is a chronic, progressive, and destructive disease primarily caused by actinomycetes (98%). It involves the skin, soft tissues and occasionally bone, central nervous system as well as internal organs, and characterized by formation of black grains and poor response to treatment. Case presentation: We present a case report about 19 year old male patient with annoying Right ankle pain and swelling for more than 1 year. Diagnosed initially as abscess and drainage was done 8 months ago without any improvement. No X-ray, biopsy or swab for culture and sensitivity done at time of first presentation. On his current presentation at Omdurman hospital mycetoma foot with osteomyelitis was diagnosed based on radiological and pathological assessment. Patient treated with aggressive debridement and bone curettage plus postoperative Itraconazole for 1 year. Conclusion: Surgical Debridement with aggressive bone curettage followed by regular follow up and X-ray can improve the prognosis and achieve good surgical outcome with very low risk of recurrence.