Mycetoma: experience of 482 cases in a single center in Mexico

Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly ende...

Descripción completa

Detalles Bibliográficos
Autores principales: Bonifaz, Alexandro, Tirado Sánchez, Andrés, Calderón, Luz, Saúl, Amado, Araiza, Javier, Hernández, Marco, González González, Gloria María, Ponce, Rosa María
Formato: Artículo
Lenguaje:inglés
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:http://eprints.uanl.mx/15126/1/238.pdf
_version_ 1824414269523886080
author Bonifaz, Alexandro
Tirado Sánchez, Andrés
Calderón, Luz
Saúl, Amado
Araiza, Javier
Hernández, Marco
González González, Gloria María
Ponce, Rosa María
author_facet Bonifaz, Alexandro
Tirado Sánchez, Andrés
Calderón, Luz
Saúl, Amado
Araiza, Javier
Hernández, Marco
González González, Gloria María
Ponce, Rosa María
author_sort Bonifaz, Alexandro
collection Repositorio Institucional
description Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumorlike soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico.
format Article
id eprints-15126
institution UANL
language English
publishDate 2014
publisher Public Library of Science
record_format eprints
spelling eprints-151262020-03-06T21:43:18Z http://eprints.uanl.mx/15126/ Mycetoma: experience of 482 cases in a single center in Mexico Bonifaz, Alexandro Tirado Sánchez, Andrés Calderón, Luz Saúl, Amado Araiza, Javier Hernández, Marco González González, Gloria María Ponce, Rosa María RC Medicina Interna, Psiquiatría, Neurología RL Dermatología Mycetoma is a chronic granulomatous disease. It is classified into eumycetoma caused by fungi and actinomycetoma due to filamentous actinomycetes. Mycetoma can be found in geographic areas in close proximity to the Tropic of Cancer. Mexico is one of the countries in which this disease is highly endemic. In this retrospective study we report epidemiologic, clinical and microbiologic data of mycetoma observed in the General Hospital of Mexico in a 33 year-period (1980 to 2013). A total of 482 cases were included which were clinical and microbiology confirmed. Four hundred and forty four cases (92.11%) were actinomycetomas and 38 cases (7.88%) were eumycetomas. Most patients were agricultural workers; there was a male predominance with a sex ratio of 3:1. The mean age was 34.5 years old (most ranged from 21 to 40 years). The main affected localization was lower and upper limbs (70.74% and 14.52% respectively). Most of the patients came from humid tropical areas (Morelos, Guerrero and Hidalgo were the regions commonly reported). The main clinical presentation was as tumorlike soft tissue swelling with draining sinuses (97.1%). Grains were observed in all the cases. The principal causative agents for actinomycetoma were: Nocardia brasiliensis (78.21%) and Actinomadura madurae (8.7%); meanwhile, for eumycetomas: Madurella mycetomatis and Scedosporium boydii (synonym: Pseudallescheria boydii) were identified. This is a single-center, with long-follow up, cross-sectional study that allows determining the prevalence and characteristics of mycetoma in different regions of Mexico. Public Library of Science 2014 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/15126/1/238.pdf http://eprints.uanl.mx/15126/1.haspreviewThumbnailVersion/238.pdf Bonifaz, Alexandro y Tirado Sánchez, Andrés y Calderón, Luz y Saúl, Amado y Araiza, Javier y Hernández, Marco y González González, Gloria María y Ponce, Rosa María (2014) Mycetoma: experience of 482 cases in a single center in Mexico. PloS Neglected tropical diseases, 8 (8). e3102. ISSN 1935-2727 http://doi.org/10.1371/journal.pntd.0003102 doi:10.1371/journal.pntd.0003102
spellingShingle RC Medicina Interna, Psiquiatría, Neurología
RL Dermatología
Bonifaz, Alexandro
Tirado Sánchez, Andrés
Calderón, Luz
Saúl, Amado
Araiza, Javier
Hernández, Marco
González González, Gloria María
Ponce, Rosa María
Mycetoma: experience of 482 cases in a single center in Mexico
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Mycetoma: experience of 482 cases in a single center in Mexico
title_full Mycetoma: experience of 482 cases in a single center in Mexico
title_fullStr Mycetoma: experience of 482 cases in a single center in Mexico
title_full_unstemmed Mycetoma: experience of 482 cases in a single center in Mexico
title_short Mycetoma: experience of 482 cases in a single center in Mexico
title_sort mycetoma experience of 482 cases in a single center in mexico
topic RC Medicina Interna, Psiquiatría, Neurología
RL Dermatología
url http://eprints.uanl.mx/15126/1/238.pdf
work_keys_str_mv AT bonifazalexandro mycetomaexperienceof482casesinasinglecenterinmexico
AT tiradosanchezandres mycetomaexperienceof482casesinasinglecenterinmexico
AT calderonluz mycetomaexperienceof482casesinasinglecenterinmexico
AT saulamado mycetomaexperienceof482casesinasinglecenterinmexico
AT araizajavier mycetomaexperienceof482casesinasinglecenterinmexico
AT hernandezmarco mycetomaexperienceof482casesinasinglecenterinmexico
AT gonzalezgonzalezgloriamaria mycetomaexperienceof482casesinasinglecenterinmexico
AT poncerosamaria mycetomaexperienceof482casesinasinglecenterinmexico