[Epidemiologic study of mycetomas in Mexico. Apropos of 502 cases]

Abstract

The epidemiological data of 502 mycetomas studied in the Department of Mycology, "Centro Dermatológico Pascua", Mexico City, were analysed. Mycetomas prevail in males (79.7%), they are more frequent between 16 and 45 years of age (75%) and among rural workers (62.5%); they preferentially affect lower limbs (62.5%); these data are generally similar to the known publications on the matter. Actinomycetomas are the most frequent with 97.2% of the cases, distributed as follows: Nocardia: 85.6% among which 71.9% are N. brasiliensis, Actinomadura madurae: 9.6%, Streptomyces somaliensis: 1.6%, Actinomadura pelletieri: only one case: 0.2%. Eumycetomas, a total of 9, are due to Madurella mycetomi (2), Madurella grisea (2), an undetermined black grain (1), Acremonium sp. and Fusarium sp. (1), Fusarium, sp. (1), Pseudallescheria boydii (1), and an undetermined white grain (1).