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[PMID]:29261466
[Au] Autor:Neyaz Z; Mohindra N; Bhatnagar A; Marak RSK
[Ad] Endereço:From the Departments of Radiodiagnosis (Z.N., N.M.), Plastic Surgery (A.B.), and Microbiology (R.S.K.M.), Sanjay Gandhi Post Graduate Institute of Medical Sciences, Rae Bareilly Road, Lucknow, Uttar Pradesh, India 226014.
[Ti] Título:Case 249: Intramuscular Mycetoma.
[So] Source:Radiology;286(1):353-359, 2018 Jan.
[Is] ISSN:1527-1315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:History A 21-year-old man presented with swelling of the medial aspect of the left thigh of 1-month duration. There was no history of fever or penetrating injury in the left thigh. The patient had undergone renal transplantation 7 years earlier and had been taking immunosuppressants since transplantation. He had undergone two surgeries at the same site in the medial aspect of the left thigh in the past 3 years for a similar problem. At physical examination, there was swelling in the medial aspect of the left thigh, with mild tenderness. A surgical scar was noted anterior to the swelling ( Fig 1 ). No redness or discharging sinus was present. Laboratory results were as follows: hemoglobin level, 11.3 g/dL (normal range, 13.8-17.2 g/dL); white blood cell count, 9.7 × 10 /L (normal range, [4-11] × 10 /L); neutrophil, 75% (normal range, 48%-77%); lymphocyte, 22% (normal range, 10%-24%); eosinophil, 1% (normal range, 0.3%- 7%); monocyte, 1% (normal range, 0.6%-10%); serum creatinine level, 1.3 mg/dL (114.9 µmol/L) (normal range, 0.5-1.6 mg/dL [44.2-141.4 µmol/L]); and serum glucose (random) level, 82 mg/dL (4.5 mmol/L) (normal range, 79-140 mg/dL [4.4-7.8 mmol/L]). Radiography of the left thigh showed soft-tissue swelling in the medial aspect of the left thigh, without underlying bone involvement (not shown). Ultrasonography (US) and magnetic resonance (MR) imaging of the left thigh were performed. [Figure: see text].
[Mh] Termos MeSH primário: Aspergilose
Micetoma
Coxa da Perna
[Mh] Termos MeSH secundário: Adulto
Aspergillus/isolamento & purificação
Seres Humanos
Hospedeiro Imunocomprometido
Masculino
Coxa da Perna/diagnóstico por imagem
Coxa da Perna/microbiologia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1148/radiol.2017152807


  2 / 1700 MEDLINE  
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[PMID]:28468763
[Au] Autor:Huang Z; Ma J
[Ad] Endereço:Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, People's Republic of China rebecca7481@aliyun.com.
[Ti] Título:Chronic purulent nasal discharge.
[So] Source:BMJ;357:j2061, 2017 05 03.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Muco/microbiologia
Micetoma/complicações
Obstrução Nasal/microbiologia
Rinite/microbiologia
Sinusite/microbiologia
[Mh] Termos MeSH secundário: Doença Crônica
Feminino
Seres Humanos
Meia-Idade
Cavidade Nasal/microbiologia
Mucosa Nasal/microbiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2061


  3 / 1700 MEDLINE  
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[PMID]:28837657
[Au] Autor:Ahmed AA; van de Sande W; Fahal AH
[Ad] Endereço:The Mycetoma Research Centre, University of Khartoum, Khartoum, Sudan.
[Ti] Título:Mycetoma laboratory diagnosis: Review article.
[So] Source:PLoS Negl Trop Dis;11(8):e0005638, 2017 Aug.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mycetoma is a unique neglected tropical disease caused by a substantial number of microorganisms of fungal or bacterial origins. Identification of the causative organism and the disease extension are the first steps in the management of the affected patients and predicting disease treatment outcome and prognosis. Different laboratory-based diagnostic tools and techniques were developed over the years to determine and identify the causative agents. These include direct microscopy and cytological, histopathological, and immunohistochemical techniques in addition to the classical grain culture. More recently, various molecular-based techniques have joined the mycetoma diagnostic armamentarium. The available mycetoma diagnostic techniques are of various specificity and sensitivity rates. Most are invasive, time consuming, and operator dependent, and a combination of them is required to reach a diagnosis. In addition, they need a well-equipped laboratory and are therefore not field friendly. This review aims to provide an update on the laboratory investigations used in the diagnosis of mycetoma. It further aims to assist practising health professionals dealing with mycetoma by outlining the guidelines developed by the Mycetoma Research Centre, University of Khartoum, WHO collaborating centre on mycetoma following a cumulative experience of managing more than 7,700 mycetoma patients.
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Fungos/isolamento & purificação
Micetoma/diagnóstico
Micetoma/microbiologia
[Mh] Termos MeSH secundário: Antibacterianos/uso terapêutico
Antifúngicos/uso terapêutico
Técnicas de Laboratório Clínico
Seres Humanos
Micetoma/tratamento farmacológico
Guias de Prática Clínica como Assunto
Resultado do Tratamento
Medicina Tropical
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Antifungal Agents)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170910
[Lr] Data última revisão:
170910
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170825
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005638


  4 / 1700 MEDLINE  
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[PMID]:28719270
[Au] Autor:Bitan O; Wiener-Well Y; Segal R; Schwartz E
[Ad] Endereço:Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
[Ti] Título:Mycetoma (Madura Foot) in Israel: Recent Cases and a Systematic Review of the Literature.
[So] Source:Am J Trop Med Hyg;96(6):1355-1361, 2017 Jun.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:AbstractMycetoma is a chronic soft tissue infection caused by fungal or bacterial pathogens, and is endemic in tropical and subtropical regions. Cases in developed countries outside the mycetoma belt are rare and usually imported by immigrants. Sporadic cases have been reported in Israel. Unpublished cases in the participating medical centers are reported. In addition, a systematic review of the literature was performed. All published mycetoma cases diagnosed in Israel were included with relevant variables collected. Twenty-one cases of mycetoma were diagnosed in Israel between 1942 and 2015, including four unpublished cases and 17 published cases. The mean age at diagnosis was 42 years (range 23-73), and 16 of the patients were male. The foot was the primary involved organ. Fifteen patients were immigrants from Yemen, Ethiopia, and Sudan. Five cases were autochthonous. One case was travel related. Among patients who developed symptoms after immigration, the mean time from exposure to symptom onset was 5.6 years (range 1-10 years). The mean time from symptom onset to diagnosis was 6.6 years (range 0.2-35 years). The autochthonous cases demonstrate that Israel is endemic of mycetoma. The immigrant population represents two distinct waves of immigration to Israel in the past century. Two unpublished cases of Ethiopian immigrants are the first reported cases of mycetoma acquired in Ethiopia. The diagnostic and therapeutic challenges along with the epidemiological data emphasize the need of raising the awareness of physicians to this devastating condition even in developed countries.
[Mh] Termos MeSH primário: Emigrantes e Imigrantes
Micetoma/diagnóstico
Micetoma/etnologia
[Mh] Termos MeSH secundário: Adulto
Amicacina/uso terapêutico
Anti-Infecciosos/uso terapêutico
Bases de Dados Factuais
Etiópia/etnologia
Feminino
Seguimentos
Seres Humanos
Israel/epidemiologia
Masculino
Meia-Idade
Micetoma/tratamento farmacológico
Rifampina/uso terapêutico
Sudão/etnologia
Sulfametoxazol/uso terapêutico
Resultado do Tratamento
Trimetoprima/uso terapêutico
Iêmen/etnologia
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Infective Agents); 84319SGC3C (Amikacin); AN164J8Y0X (Trimethoprim); JE42381TNV (Sulfamethoxazole); VJT6J7R4TR (Rifampin)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170719
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0710


  5 / 1700 MEDLINE  
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[PMID]:28631674
[Au] Autor:Minenkov GO; Nasyrov VA; Islamov IM; Solodchenko NV; Skorobogatova OV
[Ad] Endereço:Radiology Department, TOMEX Imaging Centre, Bishkek, Kyrgyz Republic, 720040.
[Ti] Título:[The modern possibilities for the application of multispiral computed tomography in diagnostics of paranasal sinuses mycetomas].
[Ti] Título:Sovremennye vozmozhnosti MSKT v diagnostike mitsetom paranazal'nykh sinusov..
[So] Source:Vestn Otorinolaringol;82(3):22-24, 2017.
[Is] ISSN:0042-4668
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The objective of the present study was the analysis of the health status of 20 patients presenting with histologically verified paranasal sinuses mycetomas (fungus balls) with special reference to CT-semiotics characteristic of the fungal ball as early as during the pre-verification period. The surgical strategy for the management of this condition has been substantiated. It is concluded that the final verification of the pathological process in question is possible only based on the results of the histological studies.
[Mh] Termos MeSH primário: Micetoma
Seios Paranasais
Sinusite
Tomografia Computadorizada Espiral/métodos
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Gerenciamento Clínico
Feminino
Seres Humanos
Quirguistão
Masculino
Micetoma/diagnóstico
Micetoma/patologia
Micetoma/fisiopatologia
Seios Paranasais/diagnóstico por imagem
Seios Paranasais/microbiologia
Seios Paranasais/patologia
Estudos Retrospectivos
Sinusite/diagnóstico
Sinusite/microbiologia
Sinusite/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170621
[St] Status:MEDLINE
[do] DOI:10.17116/otorino201782322-24


  6 / 1700 MEDLINE  
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[PMID]:28484105
[Au] Autor:Asada M
[Ti] Título:Research & development and distribution of medicines for eliminating tropical diseases: Introduction of our activities as an example of the approach by pharmaceutical industries.
[So] Source:Nihon Yakurigaku Zasshi;149(5):225-230, 2017.
[Is] ISSN:0015-5691
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Mh] Termos MeSH primário: Indústria Farmacêutica
Doenças Negligenciadas/tratamento farmacológico
Medicina Tropical
[Mh] Termos MeSH secundário: Doença de Chagas/tratamento farmacológico
Seres Humanos
Cooperação Internacional
Micetoma/tratamento farmacológico
Pesquisa/tendências
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1254/fpj.149.225


  7 / 1700 MEDLINE  
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[PMID]:28410611
[Au] Autor:Tóth EJ; Nagy GR; Homa M; Ábrók M; Kiss IÉ; Nagy G; Bata-Csörgo Z; Kemény L; Urbán E; Vágvölgyi C; Papp T
[Ad] Endereço:MTA-SZTE "Lendület" Fungal Pathogenicity Mechanisms Research Group, Hungarian Academy of Sciences, University of Szeged, Közép fasor 52, Szeged, 6726, Hungary.
[Ti] Título:Recurrent Scedosporium apiospermum mycetoma successfully treated by surgical excision and terbinafine treatment: a case report and review of the literature.
[So] Source:Ann Clin Microbiol Antimicrob;16(1):31, 2017 Apr 14.
[Is] ISSN:1476-0711
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Scedosporium apiospermum is an emerging opportunistic filamentous fungus, which is notorious for its high levels of antifungal-resistance. It is able to cause localized cutaneous or subcutaneous infections in both immunocompromised and immunocompetent persons, pulmonary infections in patients with predisposing pulmonary diseases and invasive mycoses in immunocompromised patients. Subcutaneous infections caused by this fungus frequently show chronic mycetomatous manifestation. CASE REPORT: We report the case of a 70-year-old immunocompromised man, who developed a fungal mycetomatous infection on his right leg. There was no history of trauma; the aetiological agent was identified by microscopic examination and ITS sequencing. This is the second reported case of S. apiospermum subcutaneous infections in Hungary, which was successfully treated by surgical excision and terbinafine treatment. After 7 months, the patient remained asymptomatic. Considering the antifungal susceptibility and increasing incidence of the fungus, Scedosporium related subcutaneous infections reported in the past quarter of century in European countries were also reviewed. CONCLUSIONS: Corticosteroid treatment represents a serious risk factor of S. apiospermum infections, especially if the patient get in touch with manure-enriched or polluted soil or water. Such infections have emerged several times in European countries in the past decades. The presented data suggest that besides the commonly applied voriconazole, terbinafine may be an alternative for the therapy of mycetomatous Scedosporium infections.
[Mh] Termos MeSH primário: Antifúngicos/administração & dosagem
Desbridamento
Perna (Membro)/patologia
Micetoma/diagnóstico
Micetoma/terapia
Naftalenos/administração & dosagem
Scedosporium/isolamento & purificação
[Mh] Termos MeSH secundário: Idoso
Análise por Conglomerados
DNA Fúngico/química
DNA Fúngico/genética
DNA Espaçador Ribossômico/química
DNA Espaçador Ribossômico/genética
Dermatomicoses/diagnóstico
Dermatomicoses/microbiologia
Dermatomicoses/patologia
Dermatomicoses/terapia
Seres Humanos
Hungria
Hospedeiro Imunocomprometido
Masculino
Microscopia
Micetoma/microbiologia
Micetoma/patologia
Filogenia
Recidiva
Scedosporium/classificação
Scedosporium/citologia
Scedosporium/genética
Análise de Sequência de DNA
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antifungal Agents); 0 (DNA, Fungal); 0 (DNA, Ribosomal Spacer); 0 (Naphthalenes); G7RIW8S0XP (terbinafine)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170424
[Lr] Data última revisão:
170424
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170416
[St] Status:MEDLINE
[do] DOI:10.1186/s12941-017-0195-z


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[PMID]:28342219
[Au] Autor:Eadie K; Parel F; Helvert-van Poppel M; Fahal A; van de Sande W
[Ad] Endereço:Department of Medical Microbiology and Infectious Diseases, ErasmusMC, Rotterdam, The Netherlands.
[Ti] Título:Combining two antifungal agents does not enhance survival of Galleria mellonella larvae infected with Madurella mycetomatis.
[So] Source:Trop Med Int Health;22(6):696-702, 2017 Jun.
[Is] ISSN:1365-3156
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether combination therapy would improve therapeutic outcome in eumycetoma caused by Madurella mycetomatis. METHODS: Survival, colony-forming units (CFU), melanisation and histopathology in M. mycetomatis-infected Galleria mellonella larvae treated with amphotericin B, itraconazole, terbinafine or combinations thereof were determined. RESULTS: Compared to larvae treated with 5% glucose, enhanced survival was obtained when M. mycetomatis-infected larvae were treated with amphotericin B, but not when they were treated with itraconazole or terbinafine. Combination therapy did not increase survival compared to 5% glucose-treated larvae, itraconazole-treated larvae or terbinafine-treated larvae. Compared to amphotericin B monotreatment, a significant decrease in survival was noted when this therapy was combined with either itraconazole or terbinafine. CFU, melanisation and histopathology did not differ between monotherapy, combination therapy or 5% glucose-treated larvae. CONCLUSIONS: Combining different classes of antifungal agents did not enhance the survival of M. mycetomatis-infected G. mellonella larvae. Instead of improving the therapeutic outcome, combining either itraconazole or terbinafine with amphotericin B resulted in significantly lower survival rates of infected larvae than amphotericin B monotherapy. This experimental study does not provide support for the use of combined amphotericin B and itraconazole, combined itraconazole and terbinafine or combined terbinafine and amphotericin B and should be confirmed in other animal models.
[Mh] Termos MeSH primário: Anfotericina B/uso terapêutico
Antifúngicos/uso terapêutico
Itraconazol/uso terapêutico
Madurella
Mariposas/microbiologia
Micetoma/tratamento farmacológico
Naftalenos/uso terapêutico
[Mh] Termos MeSH secundário: Animais
Modelos Animais de Doenças
Quimioterapia Combinada
Larva/efeitos dos fármacos
Larva/crescimento & desenvolvimento
Larva/microbiologia
Mariposas/crescimento & desenvolvimento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antifungal Agents); 0 (Naphthalenes); 304NUG5GF4 (Itraconazole); 7XU7A7DROE (Amphotericin B); G7RIW8S0XP (terbinafine)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170326
[St] Status:MEDLINE
[do] DOI:10.1111/tmi.12871


  9 / 1700 MEDLINE  
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[PMID]:28319638
[Au] Autor:Arenas R; Fernandez Martinez RF; Torres-Guerrero E; Garcia C
[Ad] Endereço:Mycology Section, Department of Dermatology, Dr. Manuel Gea González General Hospital, Mexico City, Mexico.
[Ti] Título:Actinomycetoma: an update on diagnosis and treatment.
[So] Source:Cutis;99(2):E11-E15, 2017 Feb.
[Is] ISSN:2326-6929
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mycetoma is a chronic infection that develops after traumatic inoculation of the skin with either true fungi or aerobic actinomycetes. The resultant infections are known as eumycetoma or actinomycetoma, respectively. Although actinomycetoma is rare in developed countries, migration of patients from endemic areas makes knowledge of this condition crucial for dermatologists worldwide. We present a review of the current concepts in the epidemiology, clinical presentation, diagnosis, and treatment of actinomycetoma.
[Mh] Termos MeSH primário: Actinobacteria/isolamento & purificação
Micetoma/terapia
Pele/microbiologia
[Mh] Termos MeSH secundário: Doença Crônica
Dermatologia
Seres Humanos
Micetoma/diagnóstico
Micetoma/epidemiologia
Pele/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE


  10 / 1700 MEDLINE  
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Wanke, Bodo
Texto completo
[PMID]:28192433
[Au] Autor:Sampaio FM; Wanke B; Freitas DF; Coelho JM; Galhardo MC; Lyra MR; Lourenço MC; Paes RA; do Valle AC
[Ad] Endereço:National Institute of Infectious Diseases, Oswaldo Cruz Foundation - Rio de Janeiro - Brazil.
[Ti] Título:Review of 21 cases of mycetoma from 1991 to 2014 in Rio de Janeiro, Brazil.
[So] Source:PLoS Negl Trop Dis;11(2):e0005301, 2017 Feb.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Mycetoma is caused by the subcutaneous inoculation of filamentous fungi or aerobic filamentous bacteria that form grains in the tissue. The purpose of this study is to describe the epidemiologic, clinic, laboratory, and therapeutic characteristics of patients with mycetoma at the Oswaldo Cruz Foundation in Rio de Janeiro, Brazil, between 1991 and 2014. Twenty-one cases of mycetoma were included in the study. There was a predominance of male patients (1.3:1) and the average patient age was 46 years. The majority of the cases were from the Southeast region of Brazil and the feet were the most affected anatomical region (80.95%). Eumycetoma prevailed over actinomycetoma (61.9% and 38.1% respectively). Eumycetoma patients had positive cultures in 8 of 13 cases, with isolation of Scedosporium apiospermum species complex (n = 3), Madurella mycetomatis (n = 2) and Acremonium spp. (n = 1). Two cases presented sterile mycelium and five were negative. Six of 8 actinomycetoma cases had cultures that were identified as Nocardia spp. (n = 3), Nocardia brasiliensis (n = 2), and Nocardia asteroides (n = 1). Imaging tests were performed on all but one patients, and bone destruction was identified in 9 cases (42.68%). All eumycetoma cases were treated with itraconazole monotherapy or combined with fluconazole, terbinafine, or amphotericin B. Actinomycetoma cases were treated with sulfamethoxazole plus trimethoprim or combined with cycles of amikacin sulphate. Surgical procedures were performed in 9 (69.2%) eumycetoma and in 3 (37.5%) actinomycetoma cases, with one amputation case in each group. Clinical cure occurred in 11 cases (7 for eumycetoma and 4 for actinomycetoma), and recurrence was documented in 4 of 21 cases. No deaths were recorded during the study. Despite of the scarcity of mycetoma in our institution the cases presented reflect the wide clinical spectrum and difficulties to take care of this neglected disease.
[Mh] Termos MeSH primário: Fungos/isolamento & purificação
Micetoma/epidemiologia
Micetoma/patologia
Nocardia/isolamento & purificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Antibacterianos/uso terapêutico
Antifúngicos/uso terapêutico
Brasil/epidemiologia
Criança
Pré-Escolar
Desbridamento
Feminino
Fungos/classificação
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Micetoma/microbiologia
Micetoma/terapia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Antifungal Agents)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0005301



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