Clinical presentation and management of mycetoma in gezira mycetoma center in Sudan

  • Authors

    • Moiez M. Aboudi Ahmed University of Medical Sciences and Technology
    • Ahmad Alamin Alshiekh
    • Mohammed D. Awadalla
    • Awad Ali M. Alawad
    2017-01-11
    https://doi.org/10.14419/ijm.v5i1.7062
  • Mycetoma, Recurrence, Amputation.

  • Abstract

    Background: Mycetoma is a neglected tropical disease characterised by deformity and disabilities with various medical, health, and socioeconomic impacts on the affected communities. It is a common health problem in Gezira state in Sudan.

    Objective: This study was conducted to review the clinical presentation and management of mycetoma in Gezira Mycetoma Center in Medani, Sudan.

    Methodology: This was a prospective descriptive health facility-based study conducted among 100 patients diagnosed with mycetoma attended to Gezira Mycetoma Center during the period from October 2014 to Sept. 2015. Variable checked was demographic characteristic, clinical presentation, types of mycetoma, and types of surgery done.

    Results: The commonest age was 20-40 years, which represents 49(49%). Males were 76(76%). Participants were mostly farmers or animal breeders with percentage of 31% and 12% respectively. All patients presented with a swelling (100%) and mostly with discharge in a sinuses (75%).The vast majority of patients reside in Gezira State (82%). Eumycetoma was reported in 98% of cases versus 2% actinomycetoma. Diagnosis depended on clinical examination mainly and X-ray for bone involvement which was reported in 15%. All cases underwent surgical intervention in the form of wide local excision (81%), amputation (17%) and debulking (2%).

    Conclusion: The study concluded that most of the patients presented late, with history of inadequate management.

  • References

    1. [1] Ahmed SA, Abbas MA, Jouvion G, Al-Hatmi AM, de Hoog GS, Kolecka A & Mahgoub el S (2015): Seventeen years of subcutaneous infection by Aspergillus flavus; eumycetoma confirmed by immunohistochemistry. Mycoses 58, 728-734. https://doi.org/10.1111/myc.12422.

      [2] Boiron P, Locci R, Goodfellow M, Gumaa SA, Isik K, Kim B, McNeil MM, Salinas-Carmona MC & Shojaei H (1998): Nocardia, nocardiosis and mycetoma. Med Mycol 36 Suppl 1, 26-37.

      [3] Fahal A, Mahgoub el S, El Hassan AM & Abdel-Rahman ME (2015): Mycetoma in the Sudan: an update from the Mycetoma Research Centre, University of Khartoum, Sudan. PLoS Negl Trop Dis 9, e0003679. https://doi.org/10.1371/journal.pntd.0003679.

      [4] Fahal A, Mahgoub el S, El Hassan AM, Abdel-Rahman ME, Alshambaty Y, Hashim A, Hago A & Zijlstra EE (2014a): A new model for management of mycetoma in the Sudan. PLoS Negl Trop Dis 8, e3271.

      [5] Fahal AH (2004): Mycetoma: a thorn in the flesh. Trans R Soc Trop Med Hyg 98, 3-11. https://doi.org/10.1016/S0035-9203(03)00009-9.

      [6] Fahal AH & Sabaa AH (2010): Mycetoma in children in Sudan. Trans R Soc Trop Med Hyg 104, 117-121. https://doi.org/10.1016/j.trstmh.2009.07.016.

      [7] Fahal AH, Shaheen S & Jones DH (2014b): The orthopaedic aspects of mycetoma. Bone Joint J 96-B, 420-425.

      [8] Hay RJ & Fahal AH (2015): Mycetoma: an old and still neglected tropical disease. Trans R Soc Trop Med Hyg 109, 169-170. https://doi.org/10.1093/trstmh/trv003.

      [9] IA ELH, Fahal AH & Gasim ET (1996): Fine needle aspiration cytology of mycetoma. Acta Cytol 40, 461-464. https://doi.org/10.1159/000333899.

      [10] Suleiman SH, Wadaella el S & Fahal AH (2016): The Surgical Treatment of Mycetoma. PLoS Negl Trop Dis 10, e0004690. https://doi.org/10.1371/journal.pntd.0004690.

      [11] Van de Sande WW (2013): Global burden of human mycetoma: a systematic review and meta-analysis. PLoS Negl Trop Dis 7, e2550. https://doi.org/10.1371/journal.pntd.0002550.

      [12] Zijlstra EE, van de Sande WW & Fahal AH (2016): Mycetoma: A Long Journey from Neglect. PLoS Negl Trop Dis 10, e0004244. https://doi.org/10.1371/journal.pntd.0004244.

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  • How to Cite

    Ahmed, M. M. A., Alshiekh, A. A., Awadalla, M. D., & Alawad, A. A. M. (2017). Clinical presentation and management of mycetoma in gezira mycetoma center in Sudan. International Journal of Medicine, 5(1), 14-16. https://doi.org/10.14419/ijm.v5i1.7062

    Received date: 2016-12-06

    Accepted date: 2017-01-01

    Published date: 2017-01-11