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Cervical and middle dorsal actinomycetomas from Guerrero State, Mexico
Author(s) -
EstradaChávez Guadalupe E.,
Estrada Roberto,
Fernandez Ramon,
Arenas Roberto,
Reyes Alain,
Guevara Cindy,
ChávezLópez Guadalupe
Publication year - 2017
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.13775
Subject(s) - medicine , dorsum , surgery , anatomy
Background Mycetomas are frequent subcutaneous mycoses with typical clinical characteristics such as sinuses, blood‐stained, serous, or purulent exudates as well as local swelling. Even though the most commonly affected areas are the lower limbs, we report four cases affecting the neck and midback regions, of which three were young females. We draw attention to the importance of early identification of these cases for prevention and specific treatment in order to avoid severe consequences or irreversible complications such as quadriplegia. Objective To document the occurrence of cervical spine and middle dorsal thoracic mycetomas, as well as their severity, clinical manifestations, and secondary complications. Material and Methods This was an observational and descriptive study in which we reviewed cases with neck and middle dorsal thoracic mycetomas diagnosed at the Acapulco General Hospital of Guerrero State, Mexico. We describe the cases including the mechanism of inoculation, neurological symptoms, and severity. Conclusions We describe three cases initially diagnosed clinically as cervical mycetomas and one in the middle dorsal thoracic region. All the cases were diagnosed at the Acapulco General Hospital of Guerrero State in Mexico.

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