Mycetoma (Madura foot): A case report

Asly, Mouna; Rafaoui, A.; Bouyermane, H.; Hakam, K; Moustamsik, B.; Lmidmani, F.; Rafai, M.A.; Largab, A.; Elfatimi, A.

doi:10.1016/j.rehab.2010.10.003

Cited by 18 publications

(20 citation statements)

References 3 publications

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“…In tropical countries, mycetoma is a real public health issue, but this pathology is quite rare in Morocco (Asly et al, 2010). A few case reports are published (Hommadi et al, 2008;El Gandaoui et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

Madura foot: Report of a eumycetoma Moroccan case

Hjira

Boudhas

Bouzidi

et al. 2015

Journal of Dermatology & Dermatologic Surgery

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Madura foot is a chronic infectious disease, caused by bacterial actinomycetes or by fungi. Mycetoma is endemic in tropical and subtropical areas, where it is a real public health issue. It is a rare and neglected disease in our country. The diagnosis is made by clinical picture, direct microscopic examination and histological study.The best therapeutic choice is surgical removal of the lesion, followed by medical treatment. An earlier diagnosis and treatment can elicit good results. We report a case of eumycetoma in a 33 yearold Moroccan man, rural worker, treated by Ketoconazole in 12 months, associated with surgical debridement. The evolution was marked by the complete remission of the infection. ª 2014 Production and hosting by Elsevier B.V. on behalf of King Saud University.

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Section: Discussionmentioning

confidence: 99%

Madura foot: Report of a eumycetoma Moroccan case

Hjira

Boudhas

Bouzidi

et al. 2015

Journal of Dermatology & Dermatologic Surgery

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“…Imaging techniques are used to determine the extent of the lesions since, as previously mentioned, eumycetoma can affect deep tissues and even the bones (bone involvement should be ruled out in especially longstanding lesions). Standard radiography can be useful to define lesion limits and whether there is bone involvement 36 . Abd El Bagi 37 proposed a radiological classification to define the degree of compromise according to alterations found in radiological images; it goes from stage 0, where the lesion is limited to the penetration site, with soft tissue inflammation and without bone compromise, to stage VI, which shows multidirectional dissemination with complete destruction of bone structures.…”

Section: Radiological Diagnosismentioning

confidence: 99%

Eumycetoma: present status and perspective

Arenas‐Guzmán¹,

Vega‐Memije²,

Rangel-Gamboa³

2023

GMM

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The eumycetoma is a severely debilitating chronic progressive fungal cutaneous infection. Classic clinical triad is characterized by painless subcutaneous mass, sinus tracts formation and sero-purulent discharge that contain aggregates of fungal hyphae called grains. Any part of the body can have affected, with extension to muscular or bone, even visceral compromised. The eumycetoma is observed in tropical and subtropical countries; In Latin-America, is reported with less frequency. In endemic areas, antibody presence again etiological agents were higher compared with number of people affected, thus it is supposed that individual genetic susceptibility most by exist. Recently, it was reported specific polymorphism in genes CR1, IL-8, NOS2 and chitriosidase, which were associated with development of eumycetoma. The diagnosis is suggested by clinical presentation; the histopathology and microbiology studies, plus radiologic valuation confirmed diagnosis. Madurella mycetomatis is the most informed etiological agent. Using phylogenetic tools new species in genus Madurella were reported; moreover, Trematosphaeria grisea and Pseudallescheria boydii were reclassified. Etiological agent Identification is important, because differences in antifungal susceptibility exist. Eumycetoma treatment includes surgery plus antifungal drugs. Identification of etiological agents is primordial, because antifungal resistance could exist. To development new pharmacological strategies, comprehension of grain formation physiology and drugs effects are necessary.

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“…La radiografía convencional puede ser útil para definir los límites de las lesiones y si existe afección ósea 36 . Abd El Bagi 37 propuso una clasificación radiológica para definir el grado de afección de acuerdo con las alteraciones encontradas en las imá-genes radiológicas; va del estadio 0, donde la lesión se limita al sitio de entrada, con inflamación de los tejidos blandos y sin compromiso óseo, al estadio VI, que presenta diseminación multidireccional con destrucción total de las estructuras óseas.…”

Section: Diagnóstico Radiológicounclassified