The causal agents of mycetoma in South India

Ah, Klokke; Swamidasan, G; Anguli, R.; Verghese, Abraham

doi:10.1016/0035-9203(68)90135-1

Cited by 40 publications

(10 citation statements)

References 7 publications

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“…Histologic examination not only establishes the diagnosis, but also allows specific identification of the causal agent in 94% of cases. [9] Splendore-Hoeppli reaction usually denotes the actinomycetoma with few exception cases of eumycetoma. Culture confirmed the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Mycetoma: Nonvenereal perineal lesions

Gupta¹,

Jain²,

Parmar³

et al. 2010

Indian J Sex Transm Dis

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Mycetoma is a chronic, granulomatous disease of the skin, and subcutaneous tissue, which sometimes involves muscle, bones, and neighboring organs. It is characterized by tumefaction, abscess formation, and fistulae with discharge of grains from sinuses. Mycetoma can be caused by various species of fungi (eumycetoma) and aerobic actinomycetes (actinomycetoma), which occur as saprophytes in soil or plants. A tentative diagnosis sufficient to initiate treatment may be made on the basis of grain color. For instance, melanoid grains are always caused by fungi and ochroid or pale grains by actinomycetes. Although this is not the thumbrule, there are exceptional reports too. As trauma favors infection, most lesions are on the foot and lower leg but they may occur anywhere on the body mimicking actinomycosis. However, lab investigations and culture are important tool to differentiate apart from the clinical picture. We are reporting atypical case with unusual site of presentation (perineum and thigh) of mycetoma.

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Section: Discussionmentioning

confidence: 99%

Mycetoma: Nonvenereal perineal lesions

Gupta¹,

Jain²,

Parmar³

et al. 2010

Indian J Sex Transm Dis

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“…Histological examination of the biopsy material not only establishes the diagnosis but also allows specific identification of the causative agent in 94 to 95% of the cases [6,7]. However, it has limitations and should be supplemented by culture.…”

Section: Discussionmentioning

confidence: 99%

Etiology and Epidemiology of Mycetomas in Saudi Arabia

Venugopal

Laing

et al. 1990

Ann Saudi Med

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The histological identification of the causal organisms of mycetoma was undertaken in 23 cases of mycetoma filed in the departments of pathology of three hospitals in the Eastern Province of Saudi Arabia. The following organisms were found: Madurella mycetomatis (43.5%), Streptomyces somaliensis (30.4%), Actinomadura madurae (17.4%), and M. grisea (8.7%). Three of these cases were studied mycologically and M. mycetomatis and M. grisea were isolated from two cases and one case, respectively. The disease was commonly seen on the foot. However, various rarer sites were the scalp, back, perineum, and gluteal areas. The geographic distribution of the causative agents, their incidence and prevalence in Saudi Arabia, and the importance of histological examination in the diagnosis of the disease are discussed.

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“…21 Two large epidemiologic studies of mycetomas in India identified Acremonium species in only 7 of 277 mycetomas. 25,26 First described by Matruchot 27 in 1911, cases have since been described on nearly every continent, including reports from India, 28 Brazil, 29 Malaysia, 30 Romania, 31 Senegal, 32 Thailand, 33 Venezuela, 34 Vanuatu, 35 Mexico, 36 Korea, 37 and the United States. 38,39 The first cases in the US literature were reported in California in 1967.…”

Section: Acremonium Mycetomatamentioning

confidence: 97%