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→Mycetoma
*bacterial
**''Actionomadura madurae'', ''Streptomyces somaliensis'', ''Actinomadura pelletieri'', ''Nocardia'' spp.
***actinomycetoma
*fungal
**''Madurella mycetomatis'', etc.
***eumaycetoma
**black dots are seen on lesions, clusters of fungi
*Txs differ depending on #medical for 3-6 months##itraconazole#surgical bulk reducion#medical for 6 months again*mainly in 20-40 y/o males*triad#painless subcutaneous mass#multiple sinuses#discharge containing grains*in earlier stage, painless nodule**look like the first stage of buruli ulcer*can invade deeper tissues and bones, leading to amputation
==Scabies==
