Mycetoma Treatment & Management

Updated: Jan 09, 2017
  • Author: Folusakin O Ayoade, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
  • Print

Medical Care

In the treatment of mycetoma, antibiotic or antifungal therapy should be attempted first and may need to be combined with surgery, [2] especially for eumycetoma lesions in the extremities. [21]

External beam radiotherapy in doses ranging from 3.5-14 Gy has been considered successful treatment in a few selected cases. [22]


Surgical Care

Surgery is recommended for localized mycetoma lesions that can be excised completely without residual disability. Surgical reduction of large lesions can improve the patient's response to medical treatment. [23] However, partial surgical resection without subsequent use of appropriate antimicrobial or antifungal agents is prone to failure.



Consultation with specialists in infectious disease or tropical medicine is advised in areas of the world where mycetoma is unfamiliar.