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. 2019 May 16;4(2):81.
doi: 10.3390/tropicalmed4020081.

Diagnosis and Management of Fungal Neglected Tropical Diseases In Community Settings-Mycetoma and Sporotrichosis

Roberto Estrada-Castañón  1 , Guadalupe Estrada-Chávez  2 , María de Guadalupe Chávez-López  3
Affiliations

Diagnosis and Management of Fungal Neglected Tropical Diseases In Community Settings-Mycetoma and Sporotrichosis

Roberto Estrada-Castañón et al. Trop Med Infect Dis. .

Abstract

Background: This is a retrospective, analytic observational study where we describe cases of sporotrichosis and mycetoma from Acapulco General Hospital and Community Dermatology Mexico C.A. over 25 years. Analysis of environmental features that favour the development of such diseases has been made, as well as the limitations in the study and treatment of such diseases in resource poor settings.

Methods: We reviewed the information on 76 sporotrichosis and 113 mycetoma patients out of a total of 14,000 consultations at Acapulco General Hospital and from Community Dermatology clinics. We analysed the epidemiological and mycological characteristics and the investigations used for diagnosis such as direct examination, culture, intradermal test reactions, and biopsy.

Results: In total 91 confirmed cases of actinomycetoma, 22 of eumycetoma and 76 of sporotrichosis have been identified including diagnostic studies for both diseases and their treatment.

Discussion: The results obtained have been analysed and interpreted in patients with mycetoma and sporotrichosis in the state of Guerrero, México, along with limitations in their management in areas with limited economic and logistical resources. The prevalence of mycetoma in our setting is compared with other centres where patients from all over the country are seen. The possible causes for variations in prevalence in specific areas has been looked for, in one of the poorest states of the Mexican Republic.

Keywords: actinomycetoma; eumycetoma; sporotrichosis Community dermatology; subcutaneous mycosis.

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Conflict of interest statement

Authors have no relevant conflicts of interest for the elaboration of this work.

Figures

Figure 1
Figure 1
Eumycetoma of the foot.
Figure 2
Figure 2
Grain histopathology (actinomycetoma) Haematoxylin and Eosin 100X.
Figure 3
Figure 3
Map of Guerrero State showing cases of mycetoma and sporotrichosis.
See this image and copyright information in PMC

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