{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:35:26Z","timestamp":1792427726751,"version":"4.5.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The Community Dermatology Program established in the state of Guerrero, Mexico for almost 30\u00a0y provides an adaptable method of detecting and monitoring skin neglected tropical diseases such as mycetoma, which is endemic in the state. The program utilises general and thematic teaching elements combined with distance learning through teledermatology, direct patient consultations and close collaboration with community teams. Using this approach, a picture of mycetoma in Guerrero has emerged, with a focal hot spot located in the southern part of the state in the Costa Chica region. Although in much of Mexico Nocardia infections dominate, in this area there are also substantial numbers of cases of eumycetoma. This combined approach provides a means of early case detection and long-term surveillance through targeted use of a small specialist team.<\/jats:p>","DOI":"10.1093\/trstmh\/traa199","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T04:24:52Z","timestamp":1608697492000},"page":"383-386","source":"Crossref","is-referenced-by-count":9,"title":["Mycetoma and the Community Dermatology Program, Mexico"],"prefix":"10.1093","volume":"115","author":[{"given":"Estrada","family":"Roberto","sequence":"first","affiliation":[{"name":"Dermatolog\u00eda Comunitaria M\u00e9xico-Centro Dermatol\u00f3gico \u201cRam\u00f3n Ruiz Maldonado\u201d, Acapulco, Guerrero, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ch\u00e1vez-L\u00f3pez","family":"Guadalupe","sequence":"additional","affiliation":[{"name":"Dermatolog\u00eda Comunitaria M\u00e9xico-Centro Dermatol\u00f3gico \u201cRam\u00f3n Ruiz Maldonado\u201d, Acapulco, Guerrero, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estrada-Ch\u00e1vez","family":"Guadalupe","sequence":"additional","affiliation":[{"name":"Instituto Estatal de Cancerolog\u00eda Arturo Beltr\u00e1n Leyva\u201d, Acapulco, Guerrero, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5835-1167","authenticated-orcid":false,"given":"Roderick","family":"Hay","sequence":"additional","affiliation":[{"name":"International Foundation for Dermatology, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,1,21]]},"reference":[{"issue":"4","key":"2021041419232513900_bib1","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.clindermatol.2011.09.009","article-title":"Eumycetoma","volume":"30","author":"Estrada","year":"2012","journal-title":"Clin Dermatol."},{"issue":"8","key":"2021041419232513900_bib2","doi-asserted-by":"crossref","first-page":"e3102","DOI":"10.1371\/journal.pntd.0003102","article-title":"Mycetoma experience of 482 cases in a single center in Mexico","volume":"8","author":"Bonifaz","year":"2014","journal-title":"PLoS Negl Trop Dis."},{"issue":"2","key":"2021041419232513900_bib3","doi-asserted-by":"crossref","DOI":"10.1097\/MAJ.0b013e31812dfd70","article-title":"A painful thorn in a foot: a case of eumycetoma","volume":"334","author":"Rouphael","year":"2007","journal-title":"Am J Med Sci."},{"issue":"3","key":"2021041419232513900_bib4","doi-asserted-by":"crossref","first-page":"e0003679","DOI":"10.1371\/journal.pntd.0003679","article-title":"Mycetoma in the Sudan: an update from the Mycetoma Research Centre, University of Khartoum, Sudan","volume":"9","author":"A","year":"2015","journal-title":"PLoS Negl Trop Dis"},{"issue":"11","key":"2021041419232513900_bib5","doi-asserted-by":"crossref","first-page":"1289","DOI":"10.1111\/j.1365-4632.2010.04610.x","article-title":"Mycetoma in South India: retrospective analysis of 13 cases and description of two cases caused by unusual pathogens: Neoscytalidium dimidiatum and Aspergillus flavus","volume":"49","author":"Padhi","year":"2010","journal-title":"Int J Dermatol."},{"issue":"5","key":"2021041419232513900_bib6","first-page":"586","article-title":"Update on the epidemiology of mycetoma in Mexico. A review of 3933 cases]","volume":"149","author":"Lopez-Martinez","year":"2013","journal-title":"Gac Med Mex."},{"key":"2021041419232513900_bib7","first-page":"232","article-title":"Contribuci\u00f3n al conocimiento de los micetomas en el estado de Guerrero, M\u00e9xico. Origen, distribuci\u00f3n geogr\u00e1fica y evoluci\u00f3n de 100 casos de micetomas","volume":"42","author":"Lavalle","year":"1998","journal-title":"Dermatol Rev Mex."},{"issue":"2","key":"2021041419232513900_bib8","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/QCO.0b013e32803d38fe","article-title":"Management of mycetoma: major challenge in tropical mycoses with limited international recognition","volume":"20","author":"Ahmed","year":"2007","journal-title":"Curr Opin Infect Dis"},{"issue":"5","key":"2021041419232513900_bib9","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1111\/j.1365-4632.2011.04954.x","article-title":"Managing skin disease in resource-poor environments \u2013 the role of community-oriented training and control programs","volume":"50","author":"Hay","year":"2011","journal-title":"Int J Dermatol."},{"issue":"8746","key":"2021041419232513900_bib10","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/0140-6736(91)90225-E","article-title":"community dermatology in Guerrero","volume":"337","author":"Hay","year":"1991","journal-title":"Lancet"},{"issue":"4","key":"2021041419232513900_bib11","first-page":"389","article-title":"Eumycetoma, Clinics in Dermatol","volume":"30","author":"Estrada","year":"2012"},{"key":"2021041419232513900_bib12","volume-title":"Correlaci\u00f3n de las caracter\u00edsticas cl\u00ednicas y etiol\u00f3gicas de los pacientes de micetoma atendidos en el Hospital General de Acapulco durante 20 a\u00f1os","author":"Chavez-L\u00f3pez","year":"2019"},{"issue":"5","key":"2021041419232513900_bib13","doi-asserted-by":"crossref","first-page":"e0006391","DOI":"10.1371\/journal.pntd.0006391","article-title":"A holistic approach to the mycetoma management","volume":"12","author":"Bakhiet","year":"2018","journal-title":"PLoS Negl Trop Dis."},{"key":"2021041419232513900_bib14","article-title":"Recognizing neglected tropical diseases through changes on the skin","volume-title":"A training guide for front-line health workers.","author":"World Health Organization"},{"key":"2021041419232513900_bib15","first-page":"477","article-title":"Epidemiolog\u00eda del micetoma en M\u00e9xico: estudio de 2,105 casos","volume":"128","author":"L\u00f3pez-Mart\u00ednez","year":"1992","journal-title":"Gac Med Mex"},{"issue":"4","key":"2021041419232513900_bib16","first-page":"236","article-title":"Micetoma plantar por Scedosporium (monosporium) apiospermum","volume":"35","author":"Ch\u00e1vez-Lopez","year":"1991","journal-title":"Dermatol Rev Mex 2a Epoca."},{"key":"2021041419232513900_bib17","first-page":"93","article-title":"Micetomas eumic\u00e9ticos por Madurella mycetomatis. Informe de seis casos","volume":"15","author":"Ch\u00e1vez-L\u00f3pez","year":"1998","journal-title":"Rev Iberoam Micol."},{"issue":"8","key":"2021041419232513900_bib18","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1046\/j.1365-4362.2002.01550.x","article-title":"Perianal actinomycetoma experience of 20 cases","volume":"41","author":"Ch\u00e1vez-Lopez","year":"2002","journal-title":"Int J Dermatol."},{"issue":"11","key":"2021041419232513900_bib19","doi-asserted-by":"crossref","first-page":"1146","DOI":"10.1111\/ijd.13775","article-title":"Cervical and middle actinomycetomas from Guerrero State, Mexico","volume":"56","author":"Estrada-Chavez","year":"2017","journal-title":"Int J Dermatol."},{"issue":"4","key":"2021041419232513900_bib20","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1111\/j.1365-4632.2009.03967.x","article-title":"Eumycotic mycetoma caused by Madurella mycetomatis successfully treated with antifungals, surgery and topical negative pressure therapy","volume":"48","author":"Estrada-Chavez","year":"2009","journal-title":"Int J Dermatol"},{"key":"2021041419232513900_bib21","first-page":"216","article-title":"Iatrogenia quir\u00fargica en micetoma","volume":"12","author":"Chavez-Lopez","year":"2014","journal-title":"Dermatol Cosmet Med Quirurgica."},{"issue":"2","key":"2021041419232513900_bib22","doi-asserted-by":"crossref","first-page":"81","DOI":"10.3390\/tropicalmed4020081","article-title":"Diagnosis and management of fungal neglected tropical diseases in community settings\u2013mycetoma and sporotrichosis","volume":"4","author":"Estrada-Casta\u00f1\u00f3n","year":"2019","journal-title":"Trop Med Infect Dis"},{"issue":"4","key":"2021041419232513900_bib23","first-page":"122","article-title":"Diagnosis of fungal neglected tropical diseases (fungal NTDs) and the role of investigation and laboratory tests: an expert consensus report","volume":"4","author":"Hay","year":"2019","journal-title":"rop Med Infect Dis."},{"issue":"6","key":"2021041419232513900_bib24","first-page":"419","article-title":"Dermatolog\u00eda comunitaria 20 a\u00f1os despu\u00e9s","volume":"57","author":"Estrada","year":"2013","journal-title":"Dermatol Rev Mex."}],"container-title":["Transactions of The Royal Society of Tropical Medicine and Hygiene"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/trstmh\/article-pdf\/115\/4\/383\/37060984\/traa199.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/trstmh\/article-pdf\/115\/4\/383\/37060984\/traa199.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T20:24:05Z","timestamp":1618604645000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/trstmh\/article\/115\/4\/383\/6105777"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,21]]},"references-count":24,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,1,21]]},"published-print":{"date-parts":[[2021,4,14]]}},"URL":"https:\/\/doi.org\/10.1093\/trstmh\/traa199","relation":{},"ISSN":["0035-9203","1878-3503"],"issn-type":[{"value":"0035-9203","type":"print"},{"value":"1878-3503","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4]]},"published":{"date-parts":[[2021,1,21]]}}}