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Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case

Mycetomas are endemic diseases in tropical and sub-tropical countries of Africa, Asia and America, mainly affecting rural populations living below the poverty line. We report a particular case of a mycetoma associated with pregnancy whose evolution was good, but at the cost of significant financial...

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Autores principales: Ndour, Niare, Ndiaye, Mame Tené, Diop, Assane, Ly, Ramatoulaye, Ndiaye, Coumba, Sarr, Mamadou, Diouf, Astou, Diagne, Fatou, Ly, Fatimata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688872/
https://www.ncbi.nlm.nih.gov/pubmed/37956163
http://dx.doi.org/10.1371/journal.pntd.0011372
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author Ndour, Niare
Ndiaye, Mame Tené
Diop, Assane
Ly, Ramatoulaye
Ndiaye, Coumba
Sarr, Mamadou
Diouf, Astou
Diagne, Fatou
Ly, Fatimata
author_facet Ndour, Niare
Ndiaye, Mame Tené
Diop, Assane
Ly, Ramatoulaye
Ndiaye, Coumba
Sarr, Mamadou
Diouf, Astou
Diagne, Fatou
Ly, Fatimata
author_sort Ndour, Niare
collection PubMed
description Mycetomas are endemic diseases in tropical and sub-tropical countries of Africa, Asia and America, mainly affecting rural populations living below the poverty line. We report a particular case of a mycetoma associated with pregnancy whose evolution was good, but at the cost of significant financial expenses. This was a 39-year-old woman who developed a fungal mycetoma due to Madurella mycetomatis from the ingunocrural region. The patient had to develop several previous pregnancies on this site of mycetoma, the outcome of which was favorable. The last pregnancy was accompanied by an aggravation of the mycetoma in the form of polyfistulized inflammatory swelling of the right inguino-crural region emitting black grains. Magnetic Resonance Imaging (MRI) of the region showed invasion of the adductor muscles at the level of the root of the thigh on its antero-internal side with no sign of pelvic extension or underlying bone lesion. The patient was treated by surgery associated with antifungal treatment. The evolution was favorable for pregnancy and mycetoma.
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spelling pubmed-106888722023-12-01 Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case Ndour, Niare Ndiaye, Mame Tené Diop, Assane Ly, Ramatoulaye Ndiaye, Coumba Sarr, Mamadou Diouf, Astou Diagne, Fatou Ly, Fatimata PLoS Negl Trop Dis Research Article Mycetomas are endemic diseases in tropical and sub-tropical countries of Africa, Asia and America, mainly affecting rural populations living below the poverty line. We report a particular case of a mycetoma associated with pregnancy whose evolution was good, but at the cost of significant financial expenses. This was a 39-year-old woman who developed a fungal mycetoma due to Madurella mycetomatis from the ingunocrural region. The patient had to develop several previous pregnancies on this site of mycetoma, the outcome of which was favorable. The last pregnancy was accompanied by an aggravation of the mycetoma in the form of polyfistulized inflammatory swelling of the right inguino-crural region emitting black grains. Magnetic Resonance Imaging (MRI) of the region showed invasion of the adductor muscles at the level of the root of the thigh on its antero-internal side with no sign of pelvic extension or underlying bone lesion. The patient was treated by surgery associated with antifungal treatment. The evolution was favorable for pregnancy and mycetoma. Public Library of Science 2023-11-13 /pmc/articles/PMC10688872/ /pubmed/37956163 http://dx.doi.org/10.1371/journal.pntd.0011372 Text en © 2023 Ndour et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ndour, Niare
Ndiaye, Mame Tené
Diop, Assane
Ly, Ramatoulaye
Ndiaye, Coumba
Sarr, Mamadou
Diouf, Astou
Diagne, Fatou
Ly, Fatimata
Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case
title Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case
title_full Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case
title_fullStr Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case
title_full_unstemmed Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case
title_short Fungal mycetoma and pregnancy: An association with costly and difficult management, about a case
title_sort fungal mycetoma and pregnancy: an association with costly and difficult management, about a case
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10688872/
https://www.ncbi.nlm.nih.gov/pubmed/37956163
http://dx.doi.org/10.1371/journal.pntd.0011372
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