Mycetoma Treatment & Management

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

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]

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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.

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Consultations

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

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