If you’re my age, you’ll know who the legendary male vocalist, Meatloaf was. If not, you’ll likely think I’m offering 3 new Kaufmann 1 meatloaf recipes, two of which aren’t bad! Either way, I think you’ll like this blog because it references the diagnostic problems that existed in India 28 years ago, some of which still exist today in America. Indian Medical Mycologist, Dr Anisetti Thammayya comes close to hitting the nail right on the head regarding the unfortunate lack of knowledge that most doctors have about fungal diseases.
Sadly, we in America seem to be stuck somewhere in the middle of his important message 28 years later. He states:
“Most of the fungal diseases, cases attending hospitals and clinics in and around Kolkata, either diagnosed wrongly or remained undiagnosed. Consequently, the patient received improper medical treatment or had undergone disfiguring/debilitating surgical operations including amputation unnecessarily, and disease was neither cured nor arrested, but persisted and progressed resulting in considerable morbidity. Sporotrichosis is diagnosed as lupus vulgaris and treated with antitubercular drugs. Actinomycetoma was diagnosed as actinomycosis and treated with drugs and amputed (amputated). Reasons for this (these) medical errors are 1. The nature of fungal diseases and the fungi causing them is not known to the majority of the health care personnel involved in health care, 2. Mycology is not taught at graduate level, 3. Mycotic diseases pose no epidemics. So fungal diseases do not receive any attention by the policy makers of health care personnel.”
1. Accurate for 2022 in America
2. Perhaps in India, but graduate level mycology degrees exist in America
3. Both True and False. False, because we now know with certainty that some fungal mycotoxins increase the virulence of certain viral diseases. True, however, in that policy makers pay little attention to fungal diseases currently