Venugopal T V, Venugopal P V, Paramasivan C N, Shetty B M, Subramanian S
Sabouraudia. 1977 Mar;15(1):17-22. doi: 10.1080/00362177785190041.
In 90 of 150 cases clinically diagnosed as mycetoma in the Department of Pathology, Madras Medical College, from January 1964 to June 1975, histopathological study revealed granules. Besides special staining procedures, cultural methods were undertaken in recent cases. The age and sex incidence, site of lesion and the species of fungi identified on the basis of histological morphology of the granules are analysed. The disease was predominatly seen in the age group 21-40. Men were more frequently affected than women and the commonest site of the lesion was foot. Actinomycotic mycetoma (68-9%) was more often found than the maduromycotic type. Madurella mycetomi (37-8%) and Actinomadura madurae (26-7%) were the commonest causal agents. Nocardia spp. were the next most common (21-1%) followed by A. pelletieri (15-5%), S. somaliensis (5-6%) and presumably Allescheria/Cephalosporium spp. from only 3 cases of white grain mycetoma.
1964年1月至1975年6月期间，在马德拉斯医学院病理科临床诊断为足菌肿的150例病例中，有90例经组织病理学研究发现有颗粒。除了特殊染色程序外，近期病例还采用了培养方法。对颗粒的组织形态学所确定的患者年龄与性别分布、病变部位及真菌种类进行了分析。该病主要见于21 - 40岁年龄组。男性比女性更易受累，最常见的病变部位是足部。放线菌性足菌肿（68.9%）比马杜拉足菌肿型更为常见。马杜拉分支菌（37.8%）和马杜拉放线菌（26.7%）是最常见的病原体。诺卡氏菌属是第二常见的病原体（21.1%），其次是佩氏放线菌（15.5%）、索马里链霉菌（5.6%），仅在3例白色颗粒型足菌肿病例中推测为阿利什霉属/头孢霉属。
