1
|
Serfaty A, Rodrigues TC. Musculoskeletal involvement in neglected tropical diseases: a comprehensive review. Skeletal Radiol 2024; 53:2143-2160. [PMID: 38267762 DOI: 10.1007/s00256-024-04595-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 01/12/2024] [Accepted: 01/15/2024] [Indexed: 01/26/2024]
Abstract
Neglected tropical diseases (NTDs) encompass a group of diseases predominantly found in tropical regions, with origins dating back to their inclusion in the United Nations Millennium Development Goals in 2000. This initiative aimed to raise awareness and global funding to combat these diseases, which thrive in areas with limited sanitation, healthcare, and education. NTDs are caused by various pathogens such as bacteria, fungi, parasites, and viruses and affect over two billion individuals in resource-poor communities, leading to preventable deaths and devastating consequences. While the musculoskeletal system is only occasionally affected, the resulting chronic disabilities prevent individuals from working, posing a significant socioeconomic burden in this region of the world. Some NTDs exhibit distinct imaging features, and radiologists need to be aware of these characteristics to facilitate early treatment. In this review, we delve into musculoskeletal NTDs, focusing on clinical features and imaging findings, differential diagnosis, and clinical management.
Collapse
Affiliation(s)
| | - Tatiane Cantarelli Rodrigues
- Department of Radiology, Hospital do Coração (HCor), São Paulo, SP, Brazil
- ALTA Diagnostic Center (DASA Group), São Paulo, SP, Brazil
| |
Collapse
|
2
|
Bezabih NA, Mulugeta M, Bezabih BA, Gidena EK. Early presentation of mycetoma (Madura Foot): A case report. Radiol Case Rep 2024; 19:3354-3357. [PMID: 38827041 PMCID: PMC11143775 DOI: 10.1016/j.radcr.2024.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 04/25/2024] [Accepted: 05/01/2024] [Indexed: 06/04/2024] Open
Abstract
Mycetoma, commonly known as Madura foot, is a chronic and progressively destructive granulomatous disease caused by a fungus or anaerobic filamentous bacteria that affects the skin, subcutaneous tissue, and bones primarily in tropical and subtropical regions, with males between the ages of 20-40 having occupational exposure to outdoor environments, such as farming, predominantly affected. It is one of the World Health Organization's 17 "neglected tropical diseases," characterized by a clinical trial of localized mass-like soft tissue injury with draining sinuses that discharge grains of infectious material. Here, we present a case report of a 40-year-old male with type 2 diabetes mellitus and a history of fieldwork, who exhibited early manifestations of mycetoma. Unlike the typical diffuse presentation seen in advanced cases, this patient's early presentation prompted diagnostic challenges due to its atypical nature. We highlight the importance of recognizing the early signs of mycetoma, particularly in individuals with predisposing factors such as diabetes and occupational exposure. Diagnostic dilemmas may arise, leading to potential misdiagnosis. Additionally, we emphasize the crucial role of biopsy in confirming the diagnosis, alongside imaging techniques, to facilitate timely intervention and management, thereby significantly impacting patient outcomes.
Collapse
Affiliation(s)
- Natnael Alemu Bezabih
- Department of Radiology, Addis Ababa University, College of Health Sciences, 2P9X+MF8, Addis Ababa, Ethiopia
| | - Mesfin Mulugeta
- Department of Radiology, Addis Ababa University, College of Health Sciences, 2P9X+MF8, Addis Ababa, Ethiopia
| | - Bezawit Alemu Bezabih
- Department of Radiology, Addis Ababa University, College of Health Sciences, 2P9X+MF8, Addis Ababa, Ethiopia
| | - Eden Kahsay Gidena
- Department of Radiology, Addis Ababa University, College of Health Sciences, 2P9X+MF8, Addis Ababa, Ethiopia
| |
Collapse
|
3
|
Hailemariam T, Tamiru R, Manyazewal T, Zenebe M, Taye B. Madura foot and a continued diagnostic enigma: Dot-in-circle sign on magnetic resonance imaging and ultrasound. IDCases 2023; 33:e01857. [PMID: 37546173 PMCID: PMC10403705 DOI: 10.1016/j.idcr.2023.e01857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 07/21/2023] [Accepted: 07/21/2023] [Indexed: 08/08/2023] Open
Abstract
Madura foot is a chronic granulomatous disease of the skin and underlying tissues caused by fungi or bacteria. Early diagnosis is important to avoid disfiguring limb deformities. Low clinical suspicion, limited availability of diagnostic tools, and infection with fastidious organisms may lead to misdiagnosis and delayed treatment. Imaging tests can help to make a timely diagnosis in a non-invasive manner. Here we report two patients with a non-classical clinical presentation and a more favorable differential diagnoses who were correctly diagnosed as cases of Madura foot based on the ''dot-in-circle sign'', a specific finding on magnetic resonance imaging and ultrasound.
Collapse
Affiliation(s)
- Tesfahunegn Hailemariam
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
- Addis Ababa University, College of Health Sciences, Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), Addis Ababa, Ethiopia
| | - Raja Tamiru
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Tsegahun Manyazewal
- Addis Ababa University, College of Health Sciences, Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), Addis Ababa, Ethiopia
| | - Moges Zenebe
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| | - Bemnet Taye
- Addis Ababa University, College of Health Sciences, Department of Radiology, Addis Ababa, Ethiopia
| |
Collapse
|
4
|
Tarafdar S, Kanimozhi P, Sabarish S, Nagarajan K, Thappa DM, Laxmisha C. Magnetic Resonance Imaging in the Diagnosis of Mycetoma with Equivocal Clinical and Laboratory Features. Indian J Dermatol 2022; 67:459-463. [PMID: 36578749 PMCID: PMC9792037 DOI: 10.4103/ijd.ijd_124_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Affiliation(s)
- Swarnava Tarafdar
- From the Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER, Pondicherry, India E-mail:
| | - Periasamy Kanimozhi
- From the Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER, Pondicherry, India E-mail:
| | - Sekar Sabarish
- From the Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER, Pondicherry, India E-mail:
| | - Krishnan Nagarajan
- From the Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER, Pondicherry, India E-mail:
| | - Devinder M. Thappa
- Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER, Pondicherry, India
| | - Chandrashekar Laxmisha
- Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research JIPMER, Pondicherry, India
| |
Collapse
|
5
|
Laohawiriyakamol T, Tanutit P, Kanjanapradit K, Hongsakul K, Ehara S. The “dot-in-circle” sign in musculoskeletal mycetoma on magnetic resonance imaging and ultrasonography. SPRINGERPLUS 2014. [DOI: 10.1186/2193-1801-3-671 25485205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
|
6
|
Laohawiriyakamol T, Tanutit P, Kanjanapradit K, Hongsakul K, Ehara S. The "dot-in-circle" sign in musculoskeletal mycetoma on magnetic resonance imaging and ultrasonography. SPRINGERPLUS 2014; 3:671. [PMID: 25485205 PMCID: PMC4237680 DOI: 10.1186/2193-1801-3-671] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 11/03/2014] [Indexed: 11/21/2022]
Abstract
This study aimed to present the ‘dot-in-circle’ sign, which indicates the typical magnetic resonance imaging (MRI) and ultrasonographic (USG) findings for mycetoma involving soft tissue and bone. A total of 8 cases with histopathological proof of mycetoma affecting the musculoskeletal system, and that were examined via MRI and/or coexistent diagnostic ultrasonography between 2004 and 2013 in Songklanagarind Hospital were included in this study. The ‘dot-in-circle’ sign on the MRI and USG images of all the patients was reviewed by two radiologists. The analytic method was descriptive. All cases of musculoskeletal mycetoma revealed the ‘dot-in-circle’ sign on MRI, which was seen as multiple, small, round- to oval-shaped hyperintense lesions separated and surrounded by a low-signal intensity rim (circle), and a tiny, central, low-signal focus (dot). An USG study was available in four patients, and all USG findings demonstrated the ‘dot-in-circle’ sign as a central hyperechoic area (dot) surrounded by hypoechoic tissue (circle). In conclusion, the ‘dot-in-circle’ sign is a typical feature on MRI and USG findings for the diagnosis of musculoskeletal mycetoma.
Collapse
Affiliation(s)
- Teeranan Laohawiriyakamol
- Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanit Road, Hat Yai, Songkhla, 90110 Thailand
| | - Pramot Tanutit
- Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanit Road, Hat Yai, Songkhla, 90110 Thailand
| | - Kanet Kanjanapradit
- Department of Pathology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanit Road, Hat Yai, Songkhla, 90110 Thailand
| | - Keerati Hongsakul
- Division of Diagnostic Radiology, Department of Radiology, Faculty of Medicine, Prince of Songkla University, 15 Karnjanavanit Road, Hat Yai, Songkhla, 90110 Thailand
| | - Shigeru Ehara
- Department of Radiology, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, 020-8505 Japan
| |
Collapse
|