title: [Surgery in black grain mycetoma: about 44 patients treated at aristide le dantec hospital (Dakar, Senegal) from December 2008 to March 2013].
abstract: Black-grain mycetomas are fungal and cannot be healed by antifungals only.We conducted this study to determine the interest of carcinologic surgery only in the management of those black-grain mycetomas.We led a retrospective study concerning 44 patients over a period of 52 months. The mean age of patients was 32.5 years. The main location of mycetomas was the foot (21 cases), the ankle (10 cases), the knee (8 cases), the leg (3 cases), the chest, the back and the pulp of the fourth finger once each. The bone was affected in 21 cases. The surgery consisted in a carcinologic excision or amputation depending on the extension of the lesion and the degree of bony infringement, with ganglionic cleaning out in case of lymphadenopathy. In the average retrospect of 25.5 months, we noted 8 cases of recurrences among which 2 on the amputated patients and 6 on the patients treated by carcinologic excision. The surgery constitutes the main therapeutic issue of the fungal mycetomas.
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal. drlaminesarr@yahoo.fr.
authors.forename: L
authors.initials: L
authors.lastname: Sarr
authors.affiliation: Centre hospitalier de l'Ordre de Malte (CHOM), BP, 11023, Dakar, Sénégal.
authors.forename: M M
authors.initials: MM
authors.lastname: Niane
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: C B
authors.initials: CB
authors.lastname: Diémé
authors.affiliation: Service de dermatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: B A
authors.initials: BA
authors.lastname: Diatta
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: N F
authors.initials: NF
authors.lastname: Coulibaly
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: B
authors.initials: B
authors.lastname: Dembélé
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: A B
authors.initials: AB
authors.lastname: Diouf
authors.affiliation: Centre hospitalier de l'Ordre de Malte (CHOM), BP, 11023, Dakar, Sénégal.
authors.forename: C A V
authors.initials: CA
authors.lastname: Kinkpé
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: A D
authors.initials: AD
authors.lastname: Sané
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: A
authors.initials: A
authors.lastname: Ndiaye
authors.affiliation: Service orthopédie-traumatologie, Hôpital Aristide Le Dantec, Dakar-Plateau, Dakar, Sénégal.
authors.forename: S I L
authors.initials: SI
authors.lastname: Seye
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006761:Hospitals; D006801:Humans; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000453:epidemiology / Q000601:surgery*; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology; D055815:Young Adult
keywords: Black grain; Dakar; Fungal mycetoma; Hospital; Senegal; Sub-Saharan Africa; Surgery