A 45-year-old man from Senegal presents with a chronic draining sinus on his right foot. Black grains are expressed from the sinus. Culture grows Madu...

Question

A 45-year-old man from Senegal presents with a chronic draining sinus on his right foot. Black grains are expressed from the sinus. Culture grows Madurella mycetomatis. What is the first-line treatment for eumycetoma?

Accepted Answer

Itraconazole (or voriconazole/posaconazole) for 6-12 months, often combined with surgery for large lesions

Answer

Co-trimoxazole for 12 months

Answer

Praziquantel single dose

Answer

Doxycycline for 4 weeks

Answer

No treatment is available

uk-dtmh MCQ (SBA): Eumycetoma Treatment

A 45-year-old man from Senegal presents with a chronic draining sinus on his right foot. Black grains are expressed from the sinus. Culture grows Madurella mycetomatis. What is the first-line treatment for eumycetoma?