Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”

Mycetoma is a chronic granulomatous disease that is more common in tropical regions with predominant involvement of foot. Spinal mycetoma presenting as lumbar canal stenosis is extremely rare. We hereby present a case of fungal eumycetoma of vertebral column in a 42-year-old male who presented with...

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Autores principales: Sarawagi, Radha, Sharma, Jitendra, Malik, Rajesh, Kumar, Aman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Private Ltd. 2021
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448220/
https://www.ncbi.nlm.nih.gov/pubmed/34556932
http://dx.doi.org/10.1055/s-0041-1734331
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author Sarawagi, Radha
Sharma, Jitendra
Malik, Rajesh
Kumar, Aman
author_facet Sarawagi, Radha
Sharma, Jitendra
Malik, Rajesh
Kumar, Aman
author_sort Sarawagi, Radha
collection PubMed
description Mycetoma is a chronic granulomatous disease that is more common in tropical regions with predominant involvement of foot. Spinal mycetoma presenting as lumbar canal stenosis is extremely rare. We hereby present a case of fungal eumycetoma of vertebral column in a 42-year-old male who presented with chronic progressive low back pain and features of lumbar canal stenosis without any skin swelling or discharging sinuses. The “dot-in-circle” sign, a highly specific magnetic resonance imaging (MRI) and ultrasonography (USG) sign of mycetoma has been described in the literature as a pathognomonic feature of mycetoma involving the musculoskeletal system. We describe the importance of characteristic imaging features with dot in circle sign in the diagnosis of eumycetoma of lumbar spine.
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spelling pubmed-84482202021-09-22 Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle” Sarawagi, Radha Sharma, Jitendra Malik, Rajesh Kumar, Aman Indian J Radiol Imaging Mycetoma is a chronic granulomatous disease that is more common in tropical regions with predominant involvement of foot. Spinal mycetoma presenting as lumbar canal stenosis is extremely rare. We hereby present a case of fungal eumycetoma of vertebral column in a 42-year-old male who presented with chronic progressive low back pain and features of lumbar canal stenosis without any skin swelling or discharging sinuses. The “dot-in-circle” sign, a highly specific magnetic resonance imaging (MRI) and ultrasonography (USG) sign of mycetoma has been described in the literature as a pathognomonic feature of mycetoma involving the musculoskeletal system. We describe the importance of characteristic imaging features with dot in circle sign in the diagnosis of eumycetoma of lumbar spine. Thieme Medical and Scientific Publishers Private Ltd. 2021-04 2021-07-27 /pmc/articles/PMC8448220/ /pubmed/34556932 http://dx.doi.org/10.1055/s-0041-1734331 Text en Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Sarawagi, Radha
Sharma, Jitendra
Malik, Rajesh
Kumar, Aman
Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”
title Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”
title_full Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”
title_fullStr Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”
title_full_unstemmed Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”
title_short Spinal Eumycetoma: A Rare Cause of Lumbar Canal Stenosis and Significance of “Dot in Circle”
title_sort spinal eumycetoma: a rare cause of lumbar canal stenosis and significance of “dot in circle”
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8448220/
https://www.ncbi.nlm.nih.gov/pubmed/34556932
http://dx.doi.org/10.1055/s-0041-1734331
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AT malikrajesh spinaleumycetomaararecauseoflumbarcanalstenosisandsignificanceofdotincircle
AT kumaraman spinaleumycetomaararecauseoflumbarcanalstenosisandsignificanceofdotincircle

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