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Restoration of Bones in Mycetoma

Restoration of Bones in Mycetoma Abstract In a case of actinomycotic mycetoma caused by Streptomyces madurae with extensive destruction of the bone, the foot was saved from amputation by appropriate antibiotic therapy given for a period of 2 1/2 years. Periodic x-ray examinations gave a valuable guide to the progress of the patient. Chemotherapy and antibiotics play an important role in the present day management of mycetoma. Cutaneous amelioration is not the criteria for cure. The bone restoration that occurs much later should be the guide for the duration of therapy. References 1. Kandhari KC, Mohapatra LN, Sehgal, et al: Black grain mycetoma foot . Arch Dermatol 89:867-870, 1964.Crossref 2. Desai SC, Pardanani DS, Sreedevi N, et al: Studies on mycetoma: Clinical, mycological, histological and radiological studies on 40 cases of mycetoma with a note on its history and epidemiology in India . Ind J Surg 32:427-447, 1970. 3. Kandhari KC, Girgla HS, Mohapatra LN, et al: Actinomycotic mycetoma . Arch Dermatol 104:686-687, 1971.Crossref 4. Koshi G, Victor N, Chacko J: Causal agents in mycetoma of the foot in Southern India . Sabouraudia 10:14-18, 1972.Crossref 5. Kamalam A, Mammen A, Premalatha S, et al: Norcardiosis—two case reports . Aust J Dermatol 13:69-74, 1972.Crossref 6. Emmons CW, Binford CH, Utz JP: The Mycetomas, Medical Mycology . Philadelphia, Lea & Febiger, pp 393 & 403, 1970. 7. Vanbreuseghem R: Early diagnosis, treatment, and epidemiology of mycetoma . Rev Med Vet Mycol 6:49-60, 1967. 8. Lynch JB: Mycetoma in the Sudan . Ann R Coll Surg 35:319-340, 1964. 9. Davies AGM: The bone changes of madura foot. Observations on Uganda Africans . Radiology 70:841-847, 1958.Crossref 10. Abbott P: Mycetoma in the Sudan . Trans R Soc Trop Med Hyg 50:11-24, 1956.Crossref 11. Zias N, Taplin D, Rebell G: Mycetoma . Arch Dermatol 99:215-225, 1969.Crossref 12. Desai SC, Pardanani DS, Kher YR, et al: Therapeutic investigations on Actinomycetoma . Ind J Surg 32:448-461, 1970. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1975.01630210094014
Publisher site
See Article on Publisher Site

Abstract

Abstract In a case of actinomycotic mycetoma caused by Streptomyces madurae with extensive destruction of the bone, the foot was saved from amputation by appropriate antibiotic therapy given for a period of 2 1/2 years. Periodic x-ray examinations gave a valuable guide to the progress of the patient. Chemotherapy and antibiotics play an important role in the present day management of mycetoma. Cutaneous amelioration is not the criteria for cure. The bone restoration that occurs much later should be the guide for the duration of therapy. References 1. Kandhari KC, Mohapatra LN, Sehgal, et al: Black grain mycetoma foot . Arch Dermatol 89:867-870, 1964.Crossref 2. Desai SC, Pardanani DS, Sreedevi N, et al: Studies on mycetoma: Clinical, mycological, histological and radiological studies on 40 cases of mycetoma with a note on its history and epidemiology in India . Ind J Surg 32:427-447, 1970. 3. Kandhari KC, Girgla HS, Mohapatra LN, et al: Actinomycotic mycetoma . Arch Dermatol 104:686-687, 1971.Crossref 4. Koshi G, Victor N, Chacko J: Causal agents in mycetoma of the foot in Southern India . Sabouraudia 10:14-18, 1972.Crossref 5. Kamalam A, Mammen A, Premalatha S, et al: Norcardiosis—two case reports . Aust J Dermatol 13:69-74, 1972.Crossref 6. Emmons CW, Binford CH, Utz JP: The Mycetomas, Medical Mycology . Philadelphia, Lea & Febiger, pp 393 & 403, 1970. 7. Vanbreuseghem R: Early diagnosis, treatment, and epidemiology of mycetoma . Rev Med Vet Mycol 6:49-60, 1967. 8. Lynch JB: Mycetoma in the Sudan . Ann R Coll Surg 35:319-340, 1964. 9. Davies AGM: The bone changes of madura foot. Observations on Uganda Africans . Radiology 70:841-847, 1958.Crossref 10. Abbott P: Mycetoma in the Sudan . Trans R Soc Trop Med Hyg 50:11-24, 1956.Crossref 11. Zias N, Taplin D, Rebell G: Mycetoma . Arch Dermatol 99:215-225, 1969.Crossref 12. Desai SC, Pardanani DS, Kher YR, et al: Therapeutic investigations on Actinomycetoma . Ind J Surg 32:448-461, 1970.

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 1975

References

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