Unusual manifestation of cystic mycetoma lesions: A case report

Abdallah, Alaa Tajeldeen Habeeb; Abdelkhalig, Rami Elsiddig; Hamid, Elwasila; Ahmed, Ayman; Siddig, Emmanuel Edwar

doi:10.1002/ccr3.8054

Cited by 3 publications

(2 citation statements)

References 22 publications

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“…11,14,28 In Sudan, the transmission and burden of arboviruses are rapidly growing, therefore, coinfections of malaria and arboviruses including dengue is a serious challenge for the health system with limited diagnostic capacity and conflict. [29][30][31][32][33][34] This challenge is indicated by the substantial delay in reaching final diagnosis that is reflected in a proper case management highlighted with better clinical outcomes. 4,5,14 However, these coinfections are often not detected, thus they are underreported; this in turn, is resulting in poor case management and severe clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Africa is heavily burdened with malaria, however, recently the burden of arboviral diseases is rapidly growing throughout the region including Sudan, mainly due to the widespread of invasive diseases vectors 11,14,28 . In Sudan, the transmission and burden of arboviruses are rapidly growing, therefore, coinfections of malaria and arboviruses including dengue is a serious challenge for the health system with limited diagnostic capacity and conflict 29–34 . This challenge is indicated by the substantial delay in reaching final diagnosis that is reflected in a proper case management highlighted with better clinical outcomes 4,5,14 .…”

Section: Discussionmentioning

confidence: 99%

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Severe coinfection of dengue and malaria: A case report

Siddig,

Mohamed,

Ahmed

2024

Clinical Case Reports

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Key Clinical MessageIn countries like Sudan, where several infectious diseases are prevalent, health care providers should not be satisfied with initial detection of a single pathogen and whenever it is feasible, they should investigate coinfections. Infections with high mortality or severe morbidity should be prioritized during the differential diagnosis particularly for diseases with similar clinical manifestations to reduce the death and disability rates. However, this requires substantial improvement in the diagnostic capacity.AbstractHere we report a case of dengue and malaria coinfection from the southeast region of Sudan, bordering Ethiopia and Eritrea. A 25‐year‐old male from Sudan presented with symptoms of fever, chills, vomiting, and muscle and joint pain. Laboratory investigations confirmed a coinfection of dengue and malaria, which is assumingly not uncommon in areas heavily syndemic with several diseases but it is severely under‐detected, underreported, and underestimated. The case has fully recovered after the supportive care for dengue and chemotherapy treatment for malaria. In such a case, it was important to monitor the patient's recovery and the treatment outcome through clinical indicators and laboratory parameters to update the treatment course whenever needed, according to response. The increasing burden and outbreaks of vector‐borne diseases including dengue and malaria in Sudan, indicates the need for improving the implementation of the global vector control response that established by the World Health Organization. Additionally, the increasing prevalent of coinfections is urging substantial improvement in the diagnostic capacity in endemic countries.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Severe coinfection of dengue and malaria: A case report

Siddig,

Mohamed,

Ahmed

2024

Clinical Case Reports

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A study of case management challenge for black grain eumycetoma during the ongoing war in Sudan

Siddig,

Aradaib,

Ahmed

2024

Clinical Case Reports

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Key Clinical MessageThis case highlights the significant challenges in the diagnosis and management of eumycetoma, particularly in regions like Sudan, where socioeconomic factors and ongoing conflict severely impact patient care. Delayed diagnosis and inadequate access to effective treatment can lead to poor adherence to prescribed therapies, prompting patients to resort to unproven self‐treatment methods. Comprehensive, multidisciplinary approaches that include education, improved accessibility to care, and addressing the impact of social determinants on health are essential to enhance the management of mycetoma, reduce disability rates, and improve patient outcomes in underserved communities.AbstractMycetoma is a chronic and debilitating infectious disease characterized by localized swellings and granulomatous lesions. It primarily affects individuals in tropical and subtropical regions and is caused by certain fungi or bacteria. This case report outlines the presentation, diagnosis, and management of a 37‐year‐old male from central Sudan with black grain eumycetoma, a challenging condition. The patient presented with recurring painless swelling in his right foot, which progressed over 5 years to include sinuses discharging black grain‐like materials. Despite initial treatment with itraconazole and folic acid, the patient discontinued medication due to war‐induced hardships including financial and accessibility to treatment and healthcare guidance, resulting in resorting to none‐effective and potentially harmful herbal remedies. Multidisciplinary management involving dermatologists, infectious disease specialists, and pharmacists supported with community health workers for health education is essential for enforcing adherence to treatment and successful recovery.

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A diagnostic challenge of tongue botryomycosis miming mycetoma—A case report

Siddig,

Ahmed

2024

Skin Health and Disease

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Botryomycosis of the tongue is a rare chronic bacterial infection that presents as nodular masses, mimicking other infectious or neoplastic conditions such as mycetoma. A case of an 80‐year‐old male was presented with painless swelling on the right lateral side of his tongue to the outpatient clinic. Biopsy and microbiological investigations revealed an unexpected Staphylococcus aureus‐related botryomycosis. This case highlights the diagnostic challenge for unusual clinical presentations of bacterial infections. Healthcare providers in countries endemic with diseases that manifest similarly should investigate thoroughly to ensure a positive clinical outcome through early diagnosis and effective case management.

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Unusual manifestation of cystic mycetoma lesions: A case report

Cited by 3 publications

References 22 publications

Severe coinfection of dengue and malaria: A case report

Severe coinfection of dengue and malaria: A case report

A study of case management challenge for black grain eumycetoma during the ongoing war in Sudan

A diagnostic challenge of tongue botryomycosis miming mycetoma—A case report

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