New Radiographic Classification of Bone Involvement in Pedal  Mycetoma

Bagi, Mohamed E. Abd El

doi:10.2214/ajr.180.3.1800665

Cited by 59 publications

(33 citation statements)

References 9 publications

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“…[17] The bones are almost always attacked from the outside, in contrast to bacterial osteomyelitis. [18] Radiographic classification of bone involvement (stages 0–6) has been suggested. [18] A few radiographic bone changes have been described that help distinguish between actinomycetoma and eumycetoma.…”

Section: Discussionmentioning

confidence: 99%

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Case report: Dot-in-circle sign - An MRI and USG sign for "Madura foot"

Anitha¹,

Pillay

2011

Indian Journal of Radiology and Imaging

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Mycetoma is a chronic granulomatous disease that is more common in tropical than in temperate regions. Early diagnosis is important due to the therapeutic implications. Although biopsy and microbiological culture provide definitive diagnosis, they are time-consuming procedures and may not be able to provide a definite diagnosis in cases of fastidious organisms. The “dot-in-circle” sign has recently been proposed as a highly specific magnetic resonance imaging (MRI) and ultrasonography (USG) sign of mycetoma, which may allow a noninvasive as well as early diagnosis. We present a case of histologically proven mycetoma that demonstrated this sign.

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Section: Discussionmentioning

confidence: 99%

“…[18] Radiographic classification of bone involvement (stages 0–6) has been suggested. [18] A few radiographic bone changes have been described that help distinguish between actinomycetoma and eumycetoma. [14]…”

Section: Discussionmentioning

confidence: 99%

Case report: Dot-in-circle sign - An MRI and USG sign for "Madura foot"

Anitha¹,

Pillay

2011

Indian Journal of Radiology and Imaging

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“…These tools include imaging techniques such as radiography, ultrasonography, CT, MRI [19–21], molecular techniques such as PCR [22], serodiagnosis as ELISA, CIE [23, 24] as well the classical grain culture and histopathological diagnosis [23]. Although the disease can be diagnosed clinically this is not accurate and can be misleading.…”

Section: Introductionmentioning

confidence: 99%

Head and Neck Mycetoma: The Mycetoma Research Centre Experience

et al. 2015

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Mycetoma is a unique neglected tropical disease which is endemic in what is known as the “mycetoma belt”. The disease has many devastating impacts on patients and communities in endemic area and is characterised by massive deformity, destruction and disability. Mycetoma is commonly seen in the foot and hand and less frequent in other parts of the body. Mycetoma of the head and neck is a rarity and is associated with high morbidity and even mortality if not treated early. In this communication we report on 49 patients with head and neck mycetoma followed up at the Mycetoma Research Centre in Khartoum. Most of the reported patients had actinomycetoma and the majority were young adult males from mycetoma endemic areas in the Sudan. Most of them were students, farmers and workers. Prior to presentation the majority had long disease duration and the cause was multifactorial. Advanced disease with massive lesion, deformity and disability was the common presentation. There was no obvious history of local trauma, familial tendency or other predisposing factor identified in this group of patients. MRI and CT scan were the most accurate diagnostic tools to determine the disease extent. The treatment outcome was rather poor and characterised by low cure rate, poor outcome and high follows-up dropout. Such a gloomy outcome calls for structured and objective health education programs.

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“…Based on the X-ray findings the extent of Mycetoma infection has been staged from 0 to stage VI (0 -no bone involvement and stage VI -multiple rays and multiple bone involvement) [5]. Mycetoma Skin, Muscle, Bone Grading System (MSMBS), is an MRI diagnosis of extent of Mycetoma infection in respective tissues [6].…”

Section: Discussionmentioning

confidence: 99%