00950nas a2200181 4500000000100000008004100001653000900042653001300051653001800064653002900082653001000111100001600121700001200137700001500149245007900164856003200243520049300275 2017 d10aNTDs10aMycetoma10aImperial Rome10aTropical disease ecology10aItaly1 aKillgrove K1 aBöni T1 aGalassi FM00aA possible case of mycetoma in ancient Rome (Italy, 2nd-3rd centuries AD). uhttp://tinyurl.com/y744fbca3 a

Reports of historical individuals with mycetoma are anecdotal in the palaeopathology literature, particularly in more temperate areas of the world. This article details a probable case of mycetoma in Imperial-era Rome, Italy. Differential diagnoses of leprosy, erosive arthropathy, sarcoidosis, and mycoses are considered. Given the morphology and pattern of the lower leg lesions and the ecology of the disease, the authors conclude that mycetoma is the most likely explanation.