Table 1.
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.