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Open AccessArticle

Diagnosis and Management of Fungal Neglected Tropical Diseases In Community Settings—Mycetoma and Sporotrichosis

1
Community Dermatology Mexico C.A.; Health Secretary Guerrero, 39355 Acapulco, Guerrero, Mexico
2
Department of Dermatology and Dermato-Oncology, Instituto Estatal de Cancerología “Dr. Arturo Beltrán Ortega”, Health Secretary Guerrero, Faculty of Medicine, Universidad Autónoma de Guerrero Mexico, Community Dermatology Mexico C.A., 39850 Acapulco, Guerrero, Mexico
3
Department of Dermatology and Mycology Acapulco General Hospital, Health Secretary Guerrero, Community Dermatology Mexico C.A., 39355 Acapulco, Guerrero, Mexico
*
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2019, 4(2), 81; https://doi.org/10.3390/tropicalmed4020081
Received: 19 March 2019 / Revised: 26 April 2019 / Accepted: 26 April 2019 / Published: 16 May 2019
Background: This is a retrospective, analytic observational study where we describe cases of sporotrichosis and mycetoma from Acapulco General Hospital and Community Dermatology Mexico C.A. over 25 years. Analysis of environmental features that favour the development of such diseases has been made, as well as the limitations in the study and treatment of such diseases in resource poor settings. Methods: We reviewed the information on 76 sporotrichosis and 113 mycetoma patients out of a total of 14,000 consultations at Acapulco General Hospital and from Community Dermatology clinics. We analysed the epidemiological and mycological characteristics and the investigations used for diagnosis such as direct examination, culture, intradermal test reactions, and biopsy. Results: In total 91 confirmed cases of actinomycetoma, 22 of eumycetoma and 76 of sporotrichosis have been identified including diagnostic studies for both diseases and their treatment. Discussion: The results obtained have been analysed and interpreted in patients with mycetoma and sporotrichosis in the state of Guerrero, México, along with limitations in their management in areas with limited economic and logistical resources. The prevalence of mycetoma in our setting is compared with other centres where patients from all over the country are seen. The possible causes for variations in prevalence in specific areas has been looked for, in one of the poorest states of the Mexican Republic. View Full-Text
Keywords: subcutaneous mycosis; actinomycetoma; eumycetoma; sporotrichosis Community dermatology subcutaneous mycosis; actinomycetoma; eumycetoma; sporotrichosis Community dermatology
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Estrada-Castañón, R.; Estrada-Chávez, G.; Chávez-López, M.G. Diagnosis and Management of Fungal Neglected Tropical Diseases In Community Settings—Mycetoma and Sporotrichosis. Trop. Med. Infect. Dis. 2019, 4, 81.

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