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Year : 1998  |  Volume : 16  |  Issue : 1  |  Page : 19-22

Mycetomas in exposed and non-exposed parts of the body : a study of 212 cases.

Department of Medical mycology, Calcutta School of Tropical Medicine, Calcutta 700 073

Correspondence Address:
PK Maiti
Department of Medical mycology, Calcutta School of Tropical Medicine, Calcutta 700 073

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Source of Support: None, Conflict of Interest: None

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ABSTRACT: Epidemiological information generated from retrospective analysis of 212 mycetoma cases attending Calcutta School of Tropical Medicine during 1986 to 1997 revealed that mycetomas occurred on ' covered parts' of body significantly differed from mycetomas occurring on ' exposed part', 'Covered area' mycetomas were almost always actinomycetomas with remarkably lower incidence on Nocardia caviae, Actinomadura sp. and Madurella grisea infections, as compared with 'exposed area' where there was a preponderance of incidence among sedentary working people (p0.05). 'Covered area' cases predominantly occurred antecedent of inapparent micro-injuries (p0.01). the male-female case rations of the two parts of body also significantly differed with P value 0.02. The might be due to more incidence of occupational trauma in 'exposed area' cases than accidental injuries (P0.05). The difference of infection rate of different mycetoma agents in two parts of body might be due to differences in local factors like sweating, temperature and bacterial flora.

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