Mycetoma Caused by Madurella Mycetomii in Madras

Abstract

Biopsy specitnens of 102 patients with mycetotna were exatnitxed histologically and Madurella mycetomii was found in 29 cases. Four cases of mycetoma pedis and a single case of tnycetotna of the hand from which M. mycetomii has been isolated in culture are described, ln all cases, the characteristic black granules were seen.The geographic distribution of the organistn and its incidence and prevalence in India are discussed.

Mycetoma, a Review of Seventeen Cases Seen at the Institute of Dermatology, Bangkok, Thailand

“…Three cases were caused by M. mycetomiz' (50%), one case by P. jeanselmii (16.6%), one case by A. boydiz' (16.6%) and one case by N. rosatii (16.6%). Mariat (1) has stated that M. mycetomiz' is cosmopolitan in tropical areas such as Africa, South America, India, Indonesia, Europe and rare in the U.S.A. M. mycetomii was the cause of eumycetoma in India about 28 to 68 % of all cases (7), which was similar to our observations. We did not get any good responses to any treatment for eumycotic mycetoma.…”

Mycetoma: An update

“…[11] However, eumycotic mycetoma accounts for the majority of cases reported from the Northern region. [12] Mycetoma is more commonly reported in males than females (3:1), probably attributable to men being more commonly involved in agricultural work. [1314] The condition is most common in young adults (16–40 years old)[15] and is uncommon in children.…”

Eumycetoma on histopathology presenting at unusual site: A rare entity.

“…Eumycotic grains are composed of 4-5μm thick septate hyphae and are demonstrated by PAS (periodic acid-Schiff) and GMS (Gomori methenamine silver) stains [13].…”