Cervicothoracic Myelopathy Secondary to Mycetoma: Case Report and Literature Review
Javier Andrés Martínez Silva*, Ricardo Monreal Molina, Alan Humberto Soto Gaxiola, Gerardo Luis Perez Palomares and Meylín A Martínez Arellano
Mycetoma is a chronic infection of the skin and underlying tissues caused by fungi or bacteria, it presents with multiple fistulous tracts, it is endemic in tropical and subtropical regions 15º to the south and 30º to the north of latitude, this region is known as the mycetoma belt. , the infection is inoculated after trauma, the objective of management is to eradicate the infection and prevent infiltrative cases (for example invasion of bone tissue), the case presented is a 29-year-old female, with secondary vertebral destruction syndrome a dorsal cervical thoracic mycetoma without microbiological isolation, this being a rare entity, which was managed in an interdisciplinary manner with empirical antimicrobials and posterior cervical decompressive surgery. Currently, the patient is five months postoperative with no cervical pain, and adequate neurological status to be able to carry out activities of daily living.