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Head and neck mycetoma: the mycetoma research centre experience.

Fahal A, Mahgoub el S, El Hassan AM, Jacoub AO, Hassan D - PLoS Negl Trop Dis (2015)

Bottom Line: There was no obvious history of local trauma, familial tendency or other predisposing factor identified in this group of patients.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.

View Article: PubMed Central - PubMed

Affiliation: The Mycetoma Research Centre, University of Khartoum, Khartoum, Sudan.

ABSTRACT
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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Related in: MedlinePlus

Skull X-ray showing massive thickening of the skull tables and generalised osteoblastic changes.
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pntd.0003587.g004: Skull X-ray showing massive thickening of the skull tables and generalised osteoblastic changes.

Mentions: At presentation 30 patients had skull and cervical X-Ray examination in at least two views and that showed normal findings in eight patients (16.3%), soft tissue mass in 10(20.4%), periosteal reaction in one patient (2%), bone destruction in five patients (10.2%) and in six patients (12.2%) a combination of these findings were detected (Fig. 4).


Head and neck mycetoma: the mycetoma research centre experience.

Fahal A, Mahgoub el S, El Hassan AM, Jacoub AO, Hassan D - PLoS Negl Trop Dis (2015)

Skull X-ray showing massive thickening of the skull tables and generalised osteoblastic changes.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4359145&req=5

pntd.0003587.g004: Skull X-ray showing massive thickening of the skull tables and generalised osteoblastic changes.
Mentions: At presentation 30 patients had skull and cervical X-Ray examination in at least two views and that showed normal findings in eight patients (16.3%), soft tissue mass in 10(20.4%), periosteal reaction in one patient (2%), bone destruction in five patients (10.2%) and in six patients (12.2%) a combination of these findings were detected (Fig. 4).

Bottom Line: There was no obvious history of local trauma, familial tendency or other predisposing factor identified in this group of patients.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.

View Article: PubMed Central - PubMed

Affiliation: The Mycetoma Research Centre, University of Khartoum, Khartoum, Sudan.

ABSTRACT
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.

Show MeSH
Related in: MedlinePlus