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. 2022 Dec 20;11(1):3. doi: 10.3390/microorganisms11010003

Table 1.

Demographics, clinical characteristics, and treatment outcomes of the patients with M. romeroi eumycetoma cases in the literature.

Demographics Clinical Characteristics Diagnosis Treatment Outcome Reference
Age
(Years)
Sex Country of Occurrence Country of Origin Site Pain Bone
Involvement
Pre-Treatment Period
(Months)
Histology
& Culture
Molecular Identification
63 F Somalia - NA NA NA 18 Yes No Surgery NA [11] *
39 M Cambodia - Foot Yes Yes 21 Yes No Excision Recurrence [4]
NA M Senegal - Leg NA NA NA Yes No NA NA [5]
NA M Sole
NA M Hand
53 M France - Foot Yes Yes 24 Yes No Amputation NA [6]
NA NA Venezuela - NA NA NA NA Yes No NA NA [7]
37 M India India Foot, ankle No NS 216 Yes No NA NA [8]
42 M Foot No Yes 60 Yes No
30 F NA NA Foot, leg NA Yes 180 Yes No KTC (400 mg/d) for 8 months Great improvement without further recorded follow-up [12] **
42 M Brazil - Sole NA No 36 Yes No KTC Failure [9]
ITC Slight improvement
36 M India - Foot NA NA NA Yes No NA NA [10]
56 M UK Pakistan Foot Yes Yes 204 Yes Yes ITC 200 mg b.i.d + 5FC 1000 mg t.i.d for 9 months Failure [13]
VRC 200 mg b.i.d for 7 weeks, then 150 mg b.i.d for 4 years Minimal improvement
POS 400 mg t.i.d for 17 months Decrease in pain and swelling, then relapse
24 M India - NA NA NA NA Yes Yes AMB and surgery Recurrence [14] ***

Abbreviations: AMB: Amphotericin B, b.i.d: twice a day, d: day, F: female, ITC: Itraconazole, 5-FC: Flucytosine, KTC: ketoconazole, M: male, NA: not available, POS: Posaconazole, t.i.d: three times a day, VRC: Voriconazole, we: week, yr: year. * Five cases of M. romeroi mycetoma were identified in this survey on a histological basis only. Cultures were positive for M. romeroi in only one case, so the other four cases were excluded. ** A case series of 8 patients from India, Saudi Arabia, and Yemen, the origin of the patient affected by M. romeroi was not specified. *** Case series from India, the exact year of diagnosis of individual cases, was not provided.