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Table 1 Differential characteristics between eumycetoma and actinomycetoma

From: Mycetoma in a non-endemic area: a diagnostic challenge

 

Eumycetoma

Actinomycetoma

Epidemiology

Africa, India

Latin America

Clinical course

Less aggressive

More aggressive

Grain

Black, yellow, white

Yellow, white, red, pink

PAS

Positive

Negative

Gram

Negative

Postive/Negative

Ziehl Nielson

Negative

Positive/Negative

Filaments

2-5 μm

<1 μm

Treatment

Antifungal (azole) + surgery

Antibacterials