Madura foot: a case report
Ahmed Bouhamidi, Mohammed Boui
The Pan African Medical Journal. 2018;30:131. doi:10.11604/pamj.2018.30.131.15045

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Images in medicine

Madura foot: a case report

Cite this: The Pan African Medical Journal. 2018;30:131. doi:10.11604/pamj.2018.30.131.15045

Received: 01/02/2018 - Accepted: 11/02/2018 - Published: 14/06/2018

Key words: Madura foot, black grains, eumycetoma

© Ahmed Bouhamidi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/30/131/full

Corresponding author: Ahmed Bouhamidi, Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco (docteurbouhamidi@gmail.com)


Madura foot: a case report

Ahmed Bouhamidi1,&, Mohammed Boui1

 

1Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco

 

 

&Corresponding author
Ahmed Bouhamidi, Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco

 

 

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A 24-year-old girl, without any significant medical history. with seven months' history of a painful tumefaction of his left foot. Physical examination revealed a tumefaction that discharges a purulent exudate containing black granules via skin fistulas. Direct microscopic examination of grains suggests a fungal infection. Standard X-rays of his foot showed no lesion of the bone. So with the combination of the clinical specific lesions and typical grains, a diagnosis of Madura foot was made and the patient treated with surgical debridement, followed by Ketoconazole for 12 months, she is under regular monitoring. Mycetoma is characterized by a clinical triad of chronic induration, draining sinuses and discharge of granules. It is either actinomycotic or eumycotic in etiology. It is endemic in tropical and subtropical countries.

 

 

Figure 1: (A) tumefaction of the left foot discharging black grains; (B) black eumycetoma grains; (C) standard X-rays showed no bone lesion; (D) surgical debridement

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Madura foot
Black grains
Eumycetoma

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ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved