Some clinical observations on mycetoma

Abstract

(1) A series of 184 cases of mycetoma are summarised, of which 118 were of the black, and 66 of the yellow grain types. (2) It is probable that the black grain type are all of the maduromycosis variety, while the majority of the yellow grain are thought to be actinomycotic mycetomata. (3) Treatment was by local removal in 141 cases, while 43 suffered amputation. (4) The relative virulence of the two types is discussed, and the differences in their clinical manifestations contrasted. (5) The operative treatment, with special reference to local removal is described.