Multiple Mycetoma Lung Secondaries from Knee Eumycetoma: An Unusual Complication

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Key Learning Points• Mycetoma is a localized disease, yet rarely, it can spread to distant organs.• Lung spread is a scarce occurrence in mycetoma.• In some patients, Madurella mycetomatis can progress widely without response to the different treatment modalities.• Vascular spread, which is a rare phenomenon in mycetoma, may explain the lung spread encountered in this patient.• Treatment compliance is essential for good clinical outcome.

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