Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
- Gill, 1842
- Carter, 1861
Madura foot, Mycetoma.
Chronic fungal infection which is confined to the skin and is sometimes tumour-like.
- Worldwide, especially in tropical and subtropical areas (South America, India, Africa)
- Men:women = 5:1
- Mainly among rural populations
- In Europe, Bulgaria and Romania are particularly affected
- Bacteria e.g
- Actinomyces spp. (e.g.: A. israeli, A. bovis)
- Nocardia spp. (N. brasiliensis, N. asteroides)
- Fungi: Madurella (e.g. Madurella mycetomi, Madurella grisea)
- Bacteria e.g
- The pathogens, which are mostly localised on plants, can penetrate through skin lesions (mostly when walking barefoot)
- Tumour-like skin changes, swellings, fistulous ducts and discharge of blackish, whitish or yellowish granules (drusen)
- Frequently, secondary impetiginisation is seen
- Drusen pathogen detection
- Myco. smear
- V.a. on the feet (madura foot)
Unfavourable, usually lethal in organ infestation.
- Foltz, K.D. and L.M. Fallat, Madura foot: atypical finding and case presentation. J Foot Ankle Surg, 2004. 43(5): p. 327-31.
- Paugam, A., et al., Clinical cure of fungal madura foot with oral itraconazole. Cutis, 1997. 60(4): p. 191-3.
- Sharma, A.M., et al., Case report: Non-invasive management of Madura foot with oral posaconazole and ciprofloxacin. Am J Trop Med Hyg, 2014. 91(6): p. 1259-62.
- Afroz, N., et al., Eumycetoma versus actinomycetoma: Diagnosis on cytology. J Cytol, 2010. 27(4): p. 133-5.