A Study of Sonographic Findings of Mycetoma Disease among Sudanese

Abstract

Mycetoma is a common health problem, endemic in many tropical and subtropical region characterized by devastating deformities, disability and high morbidity. The Sonographic appearance of Mycetoma is described in this prospective study.60 patients with soft tissue swellings had Sonographic evaluation of the swelling and surgical excision within 2 weeks of ultrasonography. The result of the study revealed that Mycetoma affected males more than females especially agriculture workers who had suffered minor skin injuries. Mycetoma was detected by ultrasound in 58 patients with percent (96.7%) and not detected in 2 patients with percent (3.3%); the common site was foot (70%).Regarding the differentiation of Mycetoma, the study showed that Euomycetomawas seen in 52 patients (86.7%) and actinomycetomawas seen in 8 patients (13.3%). Furthermore, in Eumycetoma the vascularity was detected in 20 patients (38.5%) while in Actionmycetoma vascularity was detected in 7 patients. Ultrasonography is simple, noninvasive, quick, reproducible and acceptable to patients. Mycetoma has characteristic Sonographic features. Furthermore, ultrasonography delineates the extent of Mycetoma more accurately than clinical examination alone.