Ultrasonographic imaging of mycetoma

Fahal, Ahmed H.; Sheik, H. E.; Homeida, M; Arabi, Y.; Mahgoub, El Sheikh

doi:10.1002/bjs.1800840824

Cited by 61 publications

(52 citation statements)

References 9 publications

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“…The examination is safe, simple and can be done as an outpatient procedure. 15 MRI. MRI is helpful in assessing the extent of bone destruction, periosteal reaction and soft-tissue involvement.…”

Section: Radiographymentioning

confidence: 99%

“…This may be due to their smaller size and consistency or the absence of cement substances. 15 Ultrasonography is useful in pre-operative planning. The examination is safe, simple and can be done as an outpatient procedure.…”

Section: Radiographymentioning

confidence: 99%

“…This could be due either to the biology and natural history of the disease, or to widespread disease along the fascial planes, inadequate excision due, for instance, to the use of local anaesthesia and lack of surgical experience, along with lack of compliance with medication because of financial constraints and lack of health education. 2,3,15,35 The follow-up must be long enough to detect and treat recurrent disease. However, it is difficult to assess outcomes accurately because of the large number of patients lost to follow-up, many of whom may be cured, but others of whom may have recurrence of disease.…”

Section: Outcomementioning

confidence: 99%

See 2 more Smart Citations

The orthopaedic aspects of mycetoma

Fahal

Shaheen

Jones

2014

The Bone & Joint Journal

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Section: Radiographymentioning

confidence: 99%

Section: Radiographymentioning

confidence: 99%

Section: Outcomementioning

confidence: 99%

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The orthopaedic aspects of mycetoma

Fahal

Shaheen

Jones

2014

The Bone & Joint Journal

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“…Standard X-ray studies may reveal periosteal reaction, secondary to osteomyelitis, or osteoporosis lytic lesions. The role of ultrasonography has been evaluated in a study including 100 patients with foot swelling prior to surgical excision (121). In that study, eumycetomas were found to have single or multiple thick-walled cavities without acoustic enhancement, and the grains were represented as hyperreflective echoes.…”

Section: Radiologymentioning

confidence: 99%

Infections Caused byScedosporiumspp

et al. 2008

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SUMMARY Scedosporium spp. are increasingly recognized as causes of resistant life-threatening infections in immunocompromised patients. Scedosporium spp. also cause a wide spectrum of conditions, including mycetoma, saprobic involvement and colonization of the airways, sinopulmonary infections, extrapulmonary localized infections, and disseminated infections. Invasive scedosporium infections are also associated with central nervous infection following near-drowning accidents. The most common sites of infection are the lungs, sinuses, bones, joints, eyes, and brain. Scedosporium apiospermum and Scedosporium prolificans are the two principal medically important species of this genus. Pseudallescheria boydii, the teleomorph of S. apiospermum, is recognized by the presence of cleistothecia. Recent advances in molecular taxonomy have advanced the understanding of the genus Scedosporium and have demonstrated a wider range of species than heretofore recognized. Studies of the pathogenesis of and immune response to Scedosporium spp. underscore the importance of innate host defenses in protection against these organisms. Microbiological diagnosis of Scedosporium spp. currently depends upon culture and morphological characterization. Molecular tools for clinical microbiological detection of Scedosporium spp. are currently investigational. Infections caused by S. apiospermum and P. boydii in patients and animals may respond to antifungal triazoles. By comparison, infections caused by S. prolificans seldom respond to medical therapy alone. Surgery and reversal of immunosuppression may be the only effective therapeutic options for infections caused by S. prolificans.

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“…The latter exhibits particular sensitivity for the detection of small lesions with the low-intensity signal on T1-and T2-weighted images, which correspond to products of the grains' metabolism. The detection of grains on MRI depends on various factors, including the size of the grains, the quality of the images, and the device parameters [77,78].…”

Section: Diagnosismentioning

confidence: 99%