Madurella grisea: a case report on an uncommon cause for mycetoma

Abstract

Madura foot is a disfiguring, disabling condition, found in the tropics and subtropics. We present a case of a farmer who presented with swelling and multiple discharging sinuses in his left foot. The offending organism, Madurella grisea was identified by fungal culture. The patient was managed with local excision combined with systemic antifungal therapy. So far, the patient has made an uneventful recovery, with no recurrences. The laboratory diagnosis proved difficult, given the limited resources. We wish to highlight the difficulties faced in diagnosis and management of this condition, as response to antifungals are dependent on the pathogen, and adherence to long term antifungals are crucial.

Recurrent eumycetoma caused by novel species Madurella pseudomycetomatis: A case report

“…However, male laborers in rural areas that work barefoot, are predominant affected group [5,[9], [10], [11]]. The control of this disease requires understanding by the clinicians, continuous supply of antifungal agents and high quality diagnostic facilities [12]. Unfortunately, for eumycetoma, recurrent infections are common and amputations are still needed in a large proportion of the patients.…”