The disabling consequences of Mycetoma.

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TitleThe disabling consequences of Mycetoma.
Publication TypeJournal Article
AuthorsAbbas M, Scolding PS, Yosif AA, EL Rahman RF, EL-Amin MO, Elbashir MK, Groce N, Fahal AH
Abbrev. JournalPLoS Negl Trop Dis
JournalPLOS Neglected Tropical Diseases
Year of Publication2018
Publication Languageeng
KeywordsChronic Disease, Disability, Morbidity, Mycetoma, Neglected tropical diseases (NTDs), Physiotherapy, Public Health, Quality of Life, Sudan

Mycetoma is a neglected tropical disease endemic in tropical and subtropical countries, particularly Sudan. The disease is characterised by the triad of painless subcutaneous mass, multiple sinuses and discharge that contain grains. It is a chronic, debilitating disease most commonly affecting the feet or hands and leads to substantial morbidity, loss of function and even amputation. It predominantly affects poor, rural populations and patients typically present late with advanced disease and complications. In this descriptive cross-sectional study, we characterise the disabling consequences of mycetoma. The study included 300 patients.

This is the first study evaluating the disabling consequences of mycetoma and shows clear areas for intervention and further research. Options for mitigating social and economic impacts include routine integration of analgesia and physiotherapy into treatment protocols, and adapting educational provision and working practices based on disability assessment. Our data show that mycetoma is a public health issue with direct implications on quality of life.

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