Abstract
A clinicomycological study of 20 cases of mycetoma of upper extremity has been undertaken. Eleven of these had lesion in the hand and the rest were affected in the forearm (3), elbow region (2), axilla (2) and shoulder region (2). M. mycetomi was the most common causative agent. Other fungi identified were M. grisea, Streptomyces somaliensis and Streptomyces madurae. The infection was found commonly in farmers in the age group of 16–45 years. The classical triad of swelling with sinuses discharging granules and history of thorn prick were not necessarily present in all cases. In three patients the underlying bones were also involved. Local excision under tourniquet was the treatment of choice unless bones were involved.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Explore related subjects
Discover the latest articles and news from researchers in related subjects, suggested using machine learning.References
Abbot, P.: (1954)—Quoted by Mahgob, E.S. —Clinical aspects of systemic mycosis. Ciba Foundation Symposium on Systemic mycosis—29–31st March 1967—Edited by Wol Steniolma, G. E. W. and Porter, R. pp. 126, J & A Churchill, Ltd, London, 1968.
Conant, N. F., Smith, D. T., Baker, R. D., Gallaway, J. L. and Martin, D. S.: Mannual of clinical mycology Philadelphia & London, W. B. Saunders Company, 1954.
Desai, S. C., Pardanani, D. S., Sreedevi, N. and Mehta, R. S.: Studies on mycetoma. Clinical, mycological, histological and radiological studies on 40 cases of mycetoma with a note with history and epidimiology in India, Ind. J. Surg. 32: 427, 1970.
Joshi, K. R., Sran, H.S., Narula, I. M. S., Ramdeo, I. N. and Sachdev, K. N.: Mycetoma—a clinicomycologic study Proceedings I.A.P. Annual Conference, Pandichari, 1971.
Lynch, J. B.: “Mycetoma in Sudan”, Ann. Roy. Coll. Surg. Eng. 35: 319, 1964.
Moghraby, I. M.. Cited by Mahgob, E. S. “ (in Reference 1).
Morray, I. G. Cited by Mahgob, E. S. “ (in Reference 1).
Rey, M. (1961) Cited by Lynch “. (Reference 5).
Verghese, A. and Klokke, A. H.: Histologic diagnosis of species of fungi causing mycetoma, Ind. Jour. Med. Res. 54: 524, 1966.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Sran, H.S., Joshi, K.R. Mycetoma of upper extremity. The Japanese Journal of Surgery 2, 86–91 (1972). https://doi.org/10.1007/BF02468936
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02468936