Overview
The goal of this retrospective observational study is to describe mycetoma cases detected in health care facilities in India and Senegal in a 10-year period. The main objectives are to:
- Determine the number of mycetoma cases diagnosed per year and trends over time.
- Describe characteristics of diagnosed mycetoma cases.
- Describe demographic characteristics of patients with mycetoma.
- Describe clinical characteristics of patients with mycetoma upon initial presentation and over time.
- Assess etiology of mycetoma cases.
- Characterize clinical management of mycetoma cases.
- Characterize approaches to diagnosis of mycetoma.
- Investigate types and durations of treatments (including medical and surgical approaches) utilized to treat mycetoma cases.
- Describe clinical outcomes among patients with mycetoma.
The study team will review all available medical, laboratory and radiologic records of identified mycetoma cases and use data collection forms to extract relevant data.
Description
Mycetoma is a poorly understood neglected tropical disease which disproportionately affects the poorest of the poor and is associated with substantial morbidity. The disease presents a multitude of diagnostic and management challenges; in particular, effective treatments for eumycetoma, the fungal and least understood form of the disease are lacking. DNDi and partners aim to conduct late-phase clinical trials on a promising new pharmacologic treatment for eumycetoma, but substantial knowledge gaps preclude such trials. These knowledge gaps include data on the burden, distribution, causative agents, clinical presentation, natural history, and common approaches to diagnosis and treatment of mycetoma in endemic countries.
This study, a retrospective review of mycetoma cases, aims to generate such data from several countries suggested by preliminary data to potentially be good candidate clinical trial sites.
Eligibility
Inclusion Criteria:
- Any patient given a diagnosis of mycetoma in a medical, radiologic, or laboratory record.
Exclusion Criteria:
- Patients with illegible or inaccessible health records.