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Mycetoma.

D B Lewall, S Ofole, B Bendl

    Skeletal Radiology
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Radiographs are essential for diagnosing mycetoma, revealing bone involvement that often precludes non-surgical treatment. Computerized tomography and isotope bone scans offer limited value in mycetoma management.

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    Area of Science:

    • Radiology
    • Medical Imaging
    • Infectious Diseases

    Background:

    • Mycetoma is a chronic fungal or bacterial infection.
    • Accurate diagnosis and management depend on understanding its radiologic manifestations.

    Purpose of the Study:

    • To analyze the radiologic features of mycetoma.
    • To evaluate the utility of conventional radiography, CT, and isotope bone scans in mycetoma diagnosis and management.

    Main Methods:

    • Retrospective analysis of 30 mycetoma cases.
    • Assessment of conventional radiographs, computerized tomography (CT), and isotope bone scans.

    Main Results:

    • Soft-tissue swelling observed in 27% of cases.
    • Periosteal reaction (67%), sclerosis (53%), endosteal reaction (50%), and cortical erosions (43%) were common.

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  • Cavities, present in 33%, predict the causative microorganism.
  • Conventional radiographs are crucial for assessing bone involvement, impacting treatment decisions.

    • Conclusions:

    • Conventional radiography is essential for mycetoma management due to its ability to detect bone involvement.
    • CT has a minor role, except in cases of thigh involvement.
    • Isotope bone scanning provides no significant diagnostic or management value for mycetoma.