Ali Elkhansa A, Hussien Mohamed Ahmed Khabab Abbasher, Alhusseini Radi Tofaha, Abdallah Abdallah M, Ibrahim Muaz A, Siddig Amira, Bahi Eilaf O, Mahmmoud Fadelallah Eljack Mohammed, Hussien Abbasher
Faculty of Medicine, University of Khartoum.
Faculty of Medicine, Alzaiem Alazhari University.
Ann Med Surg (Lond). 2023 Mar 15;85(5):1590-1593. doi: 10.1097/MS9.0000000000000122. eCollection 2023 May.
Mycetoma is a chronic specific granulomatous progressive and disfiguring subcutaneous inflammatory disease. It is caused by true fungi (Eumycetoma) or by higher bacteria (actinomycetoma). Mycetoma mainly affects the lower limbs, followed by the upper limbs, back, and rarely the head and neck. Mycetoma is mainly transmitted through trauma with infected sharp objects. Herein, we want to determine the neurological manifestations of mycetoma in Sudanese patients.
A descriptive cross-sectional community-based study included 160 patients with mycetoma seen in the White Nile state. A team of doctors collected data using standardized questionnaires that included clinical history, neurological examination, investigations including laboratory, neurophysiological studies, and imaging.
Almost 160 patients were included in the study; 90% of them were male. Two patients presented with entrapment neuropathy, one presented with proximal neuropathy, one had peripheral neuropathy, one had dorsal spine involvement and presented with spastic paraplegia with sensory level, one had cervical cord compression, and one patient had repeated attacks of convulsion.
Although it is rare, clinicians should highly suspect neurological involvement in mycetoma patients.
足菌肿是一种慢性特异性肉芽肿性进行性毁容性皮下炎症性疾病。它由真性真菌（真菌性足菌肿）或高等细菌（放线菌性足菌肿）引起。足菌肿主要累及下肢，其次是上肢、背部，很少累及头颈部。足菌肿主要通过被感染的锐器创伤传播。在此，我们想确定苏丹患者足菌肿的神经学表现。
一项基于社区的描述性横断面研究纳入了在白尼罗州就诊的160例足菌肿患者。一组医生使用标准化问卷收集数据，问卷包括临床病史、神经学检查、包括实验室检查、神经生理学研究和影像学检查在内的各项检查。
该研究共纳入近160例患者；其中90%为男性。2例出现卡压性神经病变，1例出现近端神经病变，1例患有周围神经病变，1例有脊柱受累并出现伴有感觉平面的痉挛性截瘫，1例有颈髓受压，1例患者反复惊厥发作。
尽管罕见，但临床医生应高度怀疑足菌肿患者存在神经受累情况。
