Spread

Spread

Local spread occurs predominantly along tissue planes. The organism multiplies to form colonies that spread along the fascial planes to skin and underlying structures. Lymphatic spread, more common in actinomycetoma, occurs to the regional lymph nodes, and increases with repeated inade quate surgical excision procedures. During the active phase of the disease, these lymphatic satellites may suppurate and discharge; lymphadenopathy may also be due to secondary bacterial infection. Spread via the bloodstream can occur. T he apparent clinical features of mycetoma are not always a reliable indicator of the extent and spread of the disease. Some small lesions with few sinuses may have many deep connecting tracts, through w hich the disease can spread quite extensively . Therefore, surgery in mycetoma under local anaes thesia is contraindicated. Spread

Local spread occurs predominantly along tissue planes. The organism multiplies to form colonies that spread along the fascial planes to skin and underlying structures. Lymphatic spread, more common in actinomycetoma, occurs to the regional lymph nodes, and increases with repeated inade quate surgical excision procedures. During the active phase of the disease, these lymphatic satellites may suppurate and discharge; lymphadenopathy may also be due to secondary bacterial infection. Spread via the bloodstream can occur. T he apparent clinical features of mycetoma are not always a reliable indicator of the extent and spread of the disease. Some small lesions with few sinuses may have many deep connecting tracts, through w hich the disease can spread quite extensively . Therefore, surgery in mycetoma under local anaes thesia is contraindicated. Spread

Local spread occurs predominantly along tissue planes. The organism multiplies to form colonies that spread along the fascial planes to skin and underlying structures. Lymphatic spread, more common in actinomycetoma, occurs to the regional lymph nodes, and increases with repeated inade quate surgical excision procedures. During the active phase of the disease, these lymphatic satellites may suppurate and discharge; lymphadenopathy may also be due to secondary bacterial infection. Spread via the bloodstream can occur. T he apparent clinical features of mycetoma are not always a reliable indicator of the extent and spread of the disease. Some small lesions with few sinuses may have many deep connecting tracts, through w hich the disease can spread quite extensively . Therefore, surgery in mycetoma under local anaes thesia is contraindicated.