Eumycetoma

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Eumycetoma

Eumycetoma (pronounced: you-my-see-toe-ma) is a chronic granulomatous fungal infection that primarily affects the skin and subcutaneous tissues. It is characterized by the formation of granulomas and abscesses, and is typically caused by various species of fungi in the order Sordariales.

Etymology

The term "Eumycetoma" is derived from the Greek words "eu" meaning true, "mykes" meaning fungus, and "toma" meaning swelling. Thus, it refers to a true fungal swelling or infection.

Symptoms

Eumycetoma typically presents as a painless subcutaneous swelling, often on the foot or hand. Over time, the infection can progress to involve the skin, forming multiple sinus tracts that discharge pus and fungal grains.

Diagnosis

Diagnosis of Eumycetoma is typically made through a combination of clinical examination, imaging studies such as MRI, and laboratory tests. The definitive diagnosis is made by identifying the causative fungus in the discharged grains or tissue biopsy.

Treatment

Treatment of Eumycetoma involves a combination of surgical debridement and long-term antifungal therapy. The choice of antifungal agent depends on the species of fungus identified.

Prognosis

The prognosis of Eumycetoma is generally good if diagnosed and treated early. However, if left untreated, the infection can lead to significant morbidity and disability.

Epidemiology

Eumycetoma is most commonly seen in tropical and subtropical regions, particularly in Africa, India, and Central and South America. It is often associated with agricultural work and barefoot walking, which increases the risk of traumatic inoculation of the fungus.

See Also

External links

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