• Rubén López-Martínez, Luis J Méndez-Tovar, Alexandro Bonifaz, Roberto Arenas, Jorge Mayorga, Oliverio Welsh, Lucio Vera-Cabrera, María Carmen Padilla-Desgarennes, Cudberto Contreras Pérez, Guadalupe Chávez, Roberto Estrada, Francisca Hernández-Hernández, and Patricia Manzano-Gayosso.
• Departamento de Microbiología y Parasitología, Facultad de Medicina, UNAM, México, D.F. rlm@unam.mx.
• Gac Med Mex. 2013 Sep 1; 149 (5): 586-92.

UnlabelledMycetoma is one of the most frequent chronic subcutaneous infections in many tropical and subtropical regions.ObjectiveTo update the epidemiological data of mycetoma cases in Mexico.MethodA survey in the main mycological diagnosis centers in this country was performed. Each mycologist was requested for number of diagnosed mycetoma cases, age, sex, occupation, geographic origin, type of mycetoma, and etiological agents.ResultsUntil 2012, we have registered 3,933 cases in the last 54 years. Sex distribution corresponds to 75.6% for men and 24.4% for women. In 75.72% is present in adults between 16-50 years old. The predominant work group of patients is farmers (58.41%) followed by housewives (21.79%). Most of patients come from Jalisco, Morelos, Nuevo Leon, Guerrero, Veracruz and Michoacan states. The most affected body areas are limbs (60.29%) and trunk (19.76%). Actinomycetoma has a frequency of 96.52%, and the commonest etiological agent is Nocardia brasiliensis (65.58%). Eumycetoma (3.48%) is mainly caused by Madurella grisea (28.47%) and M. mycetomatis (26.28%).ConclusionsMycetoma is an under-diagnosed pathology representing a health problem in rural regions and must be attended with more interest by the health institutions.

16 keywords...

hide…