[Actual treatment of fungus mycetoma: interest in associating ketoconazole and conservative surgery]

Abstract

The author diagnosed and treated 66 cases of fungus mycetomae during his two years of assignment at the Nouakchott national hospital (Islamic Republic of Mauritania). Recent coming out of the youngest generation of an antifungus drug: ketoconazole, leads the author to change his therapeutic attitude towards such tumours. This article reports on promising results got by an original medico-surgical association. The interest of such a treatment is also underlined by the poor results of the classical treatment, solely surgical, when it tries to be conservative.