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Mycetoma‐like chromoblastomycosis: a diagnostic dilemma

Overview of attention for article published in International Journal of Dermatology, February 2017
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Title
Mycetoma‐like chromoblastomycosis: a diagnostic dilemma
Published in
International Journal of Dermatology, February 2017
DOI 10.1111/ijd.13499
Pubmed ID
Authors

Ameena Jaleel, Machiyanickel I. Celine, Kunjumani Sobhanakumari, Sadeep M. Sadanandan, Puthenpurayil E. Shanimole, Susna Sobhana Surendran

Abstract

Mycetoma and chromoblastomycosis are subcutaneous fungal infections caused by pigmented fungi, common in the tropics and subtropics. Here we report a pregnant woman who presented with a swelling around the ankle joint which was clinically diagnosed as a case of mycetoma; however, further investigations revealed it to be a case of chromoblastomycosis. 24 year old primigravida presented with an indurated swelling around the ankle joint with multiple nodules and sinuses draining serosanguinous discharge. There was no improvement with antibiotic therapy or surgical debridement. Patient was investigated in detail including radiographs, KOH smear, pus culture and biopsy for histopathology and fungal culture. o grains were identified from the discharge and KOH smear was negative for fungal elements. Pus culture revealed no bacterial growth. On the other hand, histopathology and fungal culture confirmed it to be a case of chromoblastomycosis caused by Fonsecaea pedrosoi. Treatment was initiated with terbinafine 250 mg daily, and patient showed excellent response within 6 months of therapy. This unusual mycetoma-like presentation of chromoblastomycosis has not been previously reported in literature and may be attributed to the altered immune status in pregnancy. This should alert the clinician about the need to be vigilant of the atypical presentations of well-known dermatological conditions, especially in special situations like pregnancy.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 17 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 17 100%

Demographic breakdown

Readers by professional status Count As %
Other 2 12%
Student > Master 2 12%
Student > Postgraduate 2 12%
Student > Ph. D. Student 2 12%
Researcher 2 12%
Other 2 12%
Unknown 5 29%
Readers by discipline Count As %
Medicine and Dentistry 5 29%
Biochemistry, Genetics and Molecular Biology 3 18%
Agricultural and Biological Sciences 2 12%
Economics, Econometrics and Finance 1 6%
Immunology and Microbiology 1 6%
Other 0 0%
Unknown 5 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 May 2017.
All research outputs
#19,922,330
of 24,484,013 outputs
Outputs from International Journal of Dermatology
#2,545
of 3,411 outputs
Outputs of similar age
#244,695
of 315,632 outputs
Outputs of similar age from International Journal of Dermatology
#50
of 70 outputs
Altmetric has tracked 24,484,013 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,411 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 315,632 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 12th percentile – i.e., 12% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 70 others from the same source and published within six weeks on either side of this one. This one is in the 5th percentile – i.e., 5% of its contemporaries scored the same or lower than it.