A case of Madura foot

Authors

  • Parth Khandhedia Intern, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India http://orcid.org/0000-0002-5713-7978
  • Shashank Desai Department of Surgery, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20220354

Keywords:

Madura mycosis, Below knee amputation, Multiple swellings, Foot injury

Abstract

Madura foot is a chronic infection caused by bacteria actinomycetes or by fungi eumycetes and is endemic in tropical and subtropical areas. The cases have been reported from the other areas as well. Foot is the primary involved organ. A 50-year-old male presented with multiple small swellings over right foot who was already diagnosed as Madura foot for which the patient was on the medications from several years with no effect. The infection tends to recur after the medications were stopped. He took penicillin injections till it was banned few years ago without any benefit. He visited the surgical outpatient department (OPD) and managed by below knee amputation from tibial tuberosity preserving 15 cm of proximal leg as stump. There was no complication post-operatively and patient was discharged in a stable condition with clean wound. The diagnostic and therapeutic challenges along with the epidemiological data emphasize the need of raising the awareness of physicians to this devastating condition.

Author Biography

Parth Khandhedia, Intern, GCS Medical College, Hospital and Research Centre Ahmedabad, Gujarat, India

Intern, GCS Hospital

References

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Bryceson A. Philoctetes' foot. Lancet. 2000;355:850.

Schwartz E, Shpiro A. Madura foot or Philoctetes foot? Isr Med Assoc J. 2015;17:442–444.

Buonfrate D, Gobbi F, Angheben A, Marocco S, Farina C, Van Den Ende J, Bisoffi Z Autochthonous cases of mycetoma in Europe: report of two cases and review of literature. PLoS One.2014;9:e100590.

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Spigelman M, Donoghue HD. Brief communication: unusual pathological condition in the lower extremities of a skeleton from ancient Israel. Am J Phys Anthropol. 2001;114:92–93.

Fletcher CL, Moore MK, Hay RJ. Eumycetoma due to Madurella mycetomatis acquired in Jamaica. Br J Dermatol. 2001;145:1018–1021

Turner PG. Madura foot or plantar fibromatosis. J Bone Joint Surg Br. 1989;71:531.

Verdolini R, Amerio P, Bugatti L, Manso E, Cataldi I, Brancorsini D, Nicolini M, Filosa G, Giangioacomi M. Madura's foot: report of a case caused by Madurella mycetomatis. Eur J Dermatol. 2000;10:627–629.

Fahal A, Sheikh Mahgoub E, El Hassan AM, Abdel-Rahman ME. Mycetoma in the Sudan: an update from the Mycetoma Research Centre, University of Khartoum, Sudan. PLoS Negl Trop Dis. 2015;9:e0003679.

Nenoff P, Van de Sande WWJ, Fahal AH, Reinel D, Schöfer H. Eumycetoma and actinomycetoma: an update on causative agents, epidemiology, pathogenesis, diagnostics and therapy. J Eur Acad Dermatol Venereol. 2015;29:1873–1883.

Van De Sande WWJ, Sheikh Maghoub E, Fahal AH, Goodfellow M, Welsh O, Zijlstra E. The mycetoma knowledge gap: identification of research priorities. PLoS Negl Trop Dis. 2014;8:e2667.

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Published

2022-01-29

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Section

Case Reports