ISSN: 2148-4902 | E-ISSN: 2536-4553
Northern Clinics of Istanbul Clinico-radiological-pathological correlation in eumycetoma spectrum: case series [North Clin Istanb]
North Clin Istanb. Ahead of Print: NCI-98215 | DOI: 10.14744/nci.2019.98215

Clinico-radiological-pathological correlation in eumycetoma spectrum: case series

Taruna Yadav1, Virendra Kumar Meena1, Minhaj Shaikh1, Sudeep Khera2, Binit Sureka1, Pawan Garg1, Pushpinder Singh Khera1
1Department of Diagnostic and Interventional Radiology, AIIMS, Jodhpur, Rajasthan
2Department of Pathology, AIIMS, Jodhpur, Rajasthan

Background
Maduramycosis or mycetoma is one of the chronic granulomatous diseases commonly seen in tropical regions. Microbiological cultures and biopsy are done for definitive diagnosis of the disease but they are time consuming methods. The purpose of this study was to correlate clinical, radiological and pathological features in eumycetoma cases to emphasize the role of “dot in circle” sign leading to early imaging based diagnosis.
Case report
Imaging plays an important role in early diagnosis of mycetoma which has therapeutic implications. “Dot in circle” sign is a recently described sign in mycetoma cases on ultrasound (USG) and magnetic resonance imaging (MRI). We diagnosed 4 cases of eumycetoma based on clinical and imaging features which were confirmed with histopathology. Differential diagnosis which may mimic this sign are also discussed.
Conclusions
The “dot in circle” sign is seen on both ultrasound and MRI. This sign is highly specific for mycetomas. Knowledge of this sign can help in early diagnosis of mycetomas preventing misdiagnosis and further complications. (NCI-2019-0009.R1)

Keywords: Mycetoma, granulomatous, dot in circle, ultrasound, magnetic resonance imaging



Corresponding Author: Taruna Yadav
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