Mycetoma Research Centre, University of Khartoum, Khartoum, Sudan.
Department of Radiography, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Trans R Soc Trop Med Hyg. 2021 Apr 14;115(4):387-396. doi: 10.1093/trstmh/traa178.
Mycetoma is a recognised neglected tropical disease that for a long time has been accorded inadequate attention across the globe. It is a chronic destructive inflammatory disease caused by fungi (eumycetoma) or actinomycetes (actinomycetoma). Mycetoma treatment depends on an accurate and precise diagnosis. The cornerstone for proper disease diagnosis is identification of the causative organisms, but also critical for diagnosis and management planning is determination of its extent along and across tissue planes. An initial diagnosis is made after clinical assessment. Clinical examination alone does not identify the causative organism nor does it detect the spread of disease along the different tissue planes and bone. Imaging techniques, such as radiography, ultrasonography, computed tomography scan and magnetic resonance imaging can be used to determine the extent of lesions. In this communication, the Mycetoma Research Centre, World Health Organization Collaborating Centre on Mycetoma, University of Khartoum, presents its experience and recommendations on mycetoma diagnostic imaging.
足菌肿是一种公认的被忽视的热带病，长期以来在全球范围内都没有得到足够的重视。它是一种由真菌（真菌性足菌肿）或放线菌（放线菌性足菌肿）引起的慢性破坏性炎症性疾病。足菌肿的治疗取决于准确和精确的诊断。正确疾病诊断的基石是确定致病生物体，但对诊断和管理计划也至关重要的是确定其在组织平面内和跨组织平面的范围。初始诊断是在临床评估后做出的。临床检查本身既不能确定致病生物体，也不能检测疾病在不同组织平面和骨骼中的传播。放射摄影、超声、计算机断层扫描和磁共振成像等成像技术可用于确定病变的范围。在本通讯中，世界卫生组织足菌肿合作中心（位于喀土穆大学的）足菌肿研究中心介绍了其在足菌肿诊断成像方面的经验和建议。
