Treatment of eumycetoma and actinomycetoma.

O. Welsh, M. C. Salinas, M. A. Rodríguez

Producción científica: Contribución a una revistaArtículo de revisiónrevisión exhaustiva

71 Citas (Scopus)

Resumen

Mycetoma is a chronic disease caused by aerobic actinomycetes and eumycetes which mainly affects the lower extremities. It predominates among farm workers in tropical, subtropical and adjacent zones. Clinically it is characterized by a firm swelling with abscesses and fistulae discharging pus that contains granules or grains of the causal agent. Their color, size, consistency and histopathology contribute to their identification. Cultures and metabolic studies determine the disease's etiology. Eumycete and actinomycete antigens can be used serologically to diagnose and predict prognosis of the disease. Many different antimicrobials and antifungal drugs have been used with varying degrees of success. Trimethoprim-sulfamethoxazole alone or together with diamino-diphenyl-sulfone is the treatment of choice for actinomycetoma. Amikacin is used for severe cases, unresponsive to previous treatment, and for those in danger of dissemination to adjacent organs. Surgery is seldom used for actinomycetoma. In eumycetoma a combination of medical treatment and surgery is advised. Small eumycetomas are easily surgically removed. Ketoconazole at a dosage of 400 mg/day is the medical treatment of choice for eumycetoma caused by M. mycetomatis. The therapeutic response to itraconazole varies. Fluconazole has been unsuccessful in the treatment of eumycetoma but amphotericin B has shown good to poor therapeutic response.

Idioma originalInglés
Páginas (desde-hasta)47-71
Número de páginas25
PublicaciónCurrent topics in medical mycology
Volumen6
EstadoPublicada - 1995
Publicado de forma externa

Huella

Profundice en los temas de investigación de 'Treatment of eumycetoma and actinomycetoma.'. En conjunto forman una huella única.

Citar esto