Les mycétomes sont des processus pathologiques au cours desquels des agents fongiques ou actinomycosiques émettent des grains. C'est une maladie infectieuse chronique, endémique dans les pays tropicaux, mais rare sous nos climats. Elles touchent les tissus mous, le squelette avec parfois des atteintes viscérales mortelles. L'atteinte du pied est de loin la plus fréquente retrouvée dans 80 % des cas [8].Un cas de localisation au pied est rapporté. Le but de ce travail est de rappeler cette affection rarissime, souvent méconnue par le praticien, et qui demeure une source de difficultés thérapeutiques.
Abstract:The mycetoma are some pathological processes during the course of which of the fungal agents or actinomycoties give out grains. It is a chronic infectious illness, endemic in the tropical countries, but rare in our climates. They touch the soft tissues and bone with sometimes deadly visceral results. The localisation in the foot is by far the most frequent and is recognised in 80% of cases.The authors recall a case of the Madura foot in this study. It is shown that this rare affection, often unrecognised by the practitioner, remains difficult to diagnose and treat.
The authors report eight cases of neglected dislocations of the elbow. The fracture-dislocations were included in our series. All patients benefited from a surgical reduction. In five cases, an internal fixation by K-wires was necessary. All patients benefited from physical therapy after removal of osteosynthesis material. After a mean follow-up of 20 months, we noted 50% of satisfactory functional results according to Mayo Elbow Performance Score. Neglected dislocations of elbow remain a rather frequent entity in developing countries. Its main cause is the negligence of patients and the recourse to traditional treatment. The prognosis of this injury remains reserved.
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