{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,17]],"date-time":"2024-06-17T22:30:06Z","timestamp":1718663406607},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T00:00:00Z","timestamp":1506038400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Mycetomas are frequent subcutaneous mycoses with typical clinical characteristics such as sinuses, blood\u2010stained, serous, or purulent exudates as well as local swelling. Even though the most commonly affected areas are the lower limbs, we report four cases affecting the neck and midback regions, of which three were young females. We draw attention to the importance of early identification of these cases for prevention and specific treatment in order to avoid severe consequences or irreversible complications such as quadriplegia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To document the occurrence of cervical spine and middle dorsal thoracic mycetomas, as well as their severity, clinical manifestations, and secondary complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>This was an observational and descriptive study in which we reviewed cases with neck and middle dorsal thoracic mycetomas diagnosed at the Acapulco General Hospital of Guerrero State, Mexico. We describe the cases including the mechanism of inoculation, neurological symptoms, and severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We describe three cases initially diagnosed clinically as cervical mycetomas and one in the middle dorsal thoracic region. All the cases were diagnosed at the Acapulco General Hospital of Guerrero State in Mexico.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.13775","type":"journal-article","created":{"date-parts":[[2017,9,22]],"date-time":"2017-09-22T05:48:37Z","timestamp":1506059317000},"page":"1146-1149","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cervical and middle dorsal actinomycetomas from Guerrero State, Mexico"],"prefix":"10.1111","volume":"56","author":[{"given":"Guadalupe E.","family":"Estrada\u2010Ch\u00e1vez","sequence":"first","affiliation":[{"name":"Department of Dermatology Acapulco General Hospital Academic Unit of Medicine Universidad Aut\u00f3noma de Guerrero Acapulco Guerrero Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Estrada","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Medical Educational Department Acapulco General Hospital Acapulco Guerrero Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of Mycology General Hospital \u201cDr. Manuel Gea Gonzalez\u201d Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Arenas","sequence":"additional","affiliation":[{"name":"Head of the Department of Mycology General Hospital \u201cDr. Manuel Gea Gonz\u00e1lez\u201d Mexico City Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Reyes","sequence":"additional","affiliation":[{"name":"Academic Unit of Medicine Universidad Autonoma de Guerrero Acapulco Guerrero Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy","family":"Guevara","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hospital General de Acapulco Acapulco Guerrero Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guadalupe","family":"Ch\u00e1vez\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Head of the Department of Dermatology and Mycology Hospital General de Acapulco Acapulco Guerrero Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,22]]},"reference":[{"key":"e_1_2_4_2_1","first-page":"137","volume-title":"Micologia Medica Ilustrada","author":"Arenas R","year":"2014"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00359-X"},{"key":"e_1_2_4_4_1","first-page":"586","article-title":"Actualizaci\u00f3n de la epidemiolog\u00eda del Micetoma en M\u00e9xico. 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