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Fig 1.

A: Showing massive head actinomycetoma with severe bilateral proptosis.

This patient had vision loss in the right eye, and loss of hearing in both ears due massive intra-cranial involvement. B: Skull CT scan showing massive intracranial actinomycetoma involvement with bones destruction. The patient agreed to show his photos for publication purpose.

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Fig 2.

Showing massive head actinomycetoma with involvement of the different parts of the skull with multiple sinuses and discharge.

The patient agreed to show her photos for publication purpose.

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Fig 2 Expand

Fig 3.

Showing massive head actinomycetoma with multiple sinuses.

The patient agreed to show his photos for publication purpose.

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Fig 3 Expand

Table 1.

Table showing the head and neck distribution of mycetoma among the studied population.

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Table 1 Expand

Fig 4.

Skull X-ray showing massive thickening of the skull tables and generalised osteoblastic changes.

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Fig 4 Expand

Fig 5.

Cranial MRI showing eumycetoma involving the skin, subcutaneous tissue and destruction of the frontal bone and with well encapsulated intracranial lesion.

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Fig 5 Expand

Fig 6.

Cranial MRI showing generalised skin, subcutaneous tissue and bone involvement with massive intracranial spread.

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Fig 6 Expand