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Anais Brasileiros de Dermatologia· 2018Q2· Review

Mycetomas: an epidemiological, etiological, clinical, laboratory and therapeutic review

Carmélia Matos Santiago Reis, Eugenio Galdino de Mendonça Reis-Filho

Short summary

Mycetoma, a chronic skin and subcutaneous tissue infection caused by fungi (eumycetoma) or bacteria (actinomycetoma), presents with a triad of tumor, fistulas, and grains, requiring distinct treatments based on etiology.

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Key points

  • Mycetoma is a chronic suppurative disease of skin and subcutaneous tissue.
  • It is characterized by a triad of tumor, fistulas, and grains.
  • Etiology can be fungal (eumycetoma) or bacterial (actinomycetoma), necessitating different treatments.
  • Diagnosis involves clinical presentation and laboratory identification of the causative agent.
  • Treatment combines early diagnosis, systemic antimicrobials, and potentially surgery.

AI-generated from the title and abstract; the full text is not read.

Abstract

Mycetoma is a chronic suppurative disease of the skin and subcutaneous tissue, characterized by a symptomatic triad: tumor, fistulas and grains. It can be caused by fungi (eumycetoma) and bacteria (actinomycetoma), with similar clinical features. Diagnosis is based on the clinical presentation and identification of the etiological agents in the tissue, by mycological/bacteriological, histopathological and immunohistochemical tests. It is important to specify the fungal or bacterial etiology, because the treatments are different. An approach that involves early diagnosis, the use of systemic antibiotics or antifungal agents, including surgical removal of lesions, is the basis for the treatment of these diseases. In this review, the most commonly used diagnostic methods and treatments will be discussed. Also, we will review the history of the disease through epidemiological and etiological aspects.

The authors' abstract, as published at the source. Anais Brasileiros de Dermatologia, 2018 · DOI ↗

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Field: Microbiology

MicrobiologyMedicine