Abstract: Background: This is a retrospective, analytic observational study where we describe cases of\nsporotrichosis and mycetoma from Acapulco General Hospital and Community Dermatology Mexico\nC.A. over 25 years. Analysis of environmental features that favour the development of such diseases\nhas been made, as well as the limitations in the study and treatment of such diseases in resource poor\nsettings. Methods: We reviewed the information on 76 sporotrichosis and 113 mycetoma patients out\nof a total of 14,000 consultations at Acapulco General Hospital and from Community Dermatology\nclinics. We analysed the epidemiological and mycological characteristics and the investigations used\nfor diagnosis such as direct examination, culture, intradermal test reactions, and biopsy. Results: In\ntotal 91 confirmed cases of actinomycetoma, 22 of eumycetoma and 76 of sporotrichosis have been\nidentified including diagnostic studies for both diseases and their treatment. Discussion: The results\nobtained have been analysed and interpreted in patients with mycetoma and sporotrichosis in the\nstate of Guerrero, Mexico, along with limitations in their management in areas with limited economic\nand logistical resources. The prevalence of mycetoma in our setting is compared with other centres\nwhere patients from all over the country are seen. The possible causes for variations in prevalence in\nspecific areas has been looked for, in one of the poorest states of the Mexican Republic.
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