Painful Lytic Lesions of the Foot : A Case Report

The presence of lytic lesions in the bones of foot raises a number of diagnostic possibilities ranging from infection, inflammatory pathology to neoplastic conditions. Although the radiological picture is not pathognomonic of any pathology, clinical history and histopathological examination can help...

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Main Authors: R Vaishya, V Vijay, P Ghogare, A Vaish
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2015-03-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://www.morthoj.org/2015/v9n1/painful-lytic-lesions.pdf
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author R Vaishya
V Vijay
P Ghogare
A Vaish
author_facet R Vaishya
V Vijay
P Ghogare
A Vaish
author_sort R Vaishya
collection DOAJ
description The presence of lytic lesions in the bones of foot raises a number of diagnostic possibilities ranging from infection, inflammatory pathology to neoplastic conditions. Although the radiological picture is not pathognomonic of any pathology, clinical history and histopathological examination can help to clinch the diagnosis. We present a case of multiple lytic lesions of the foot and discuss possible differential diagnoses. The patient was diagnosed as a case of madura foot and the lesions responded to surgical debridement and anti-fungal treatment with a good functional outcome. Madura foot is an uncommon, chronic granulomatous fungal or bacterial infection with a predilection in people who walk barefoot. Although known for a specific geographical distribution, madura foot should be kept as a possible diagnosis in patients presenting with lytic lesions of the foot due to population emigration across the world.
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spelling doaj.art-1ea8ead9234d4b7db1f2ed52bb208bec2022-12-21T22:27:48ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332015-03-01913537http://dx.doi.org/10.5704/MOJ.1503.005Painful Lytic Lesions of the Foot : A Case ReportR Vaishya0V Vijay1P Ghogare2A Vaish3FRCSDNBMDMBBSThe presence of lytic lesions in the bones of foot raises a number of diagnostic possibilities ranging from infection, inflammatory pathology to neoplastic conditions. Although the radiological picture is not pathognomonic of any pathology, clinical history and histopathological examination can help to clinch the diagnosis. We present a case of multiple lytic lesions of the foot and discuss possible differential diagnoses. The patient was diagnosed as a case of madura foot and the lesions responded to surgical debridement and anti-fungal treatment with a good functional outcome. Madura foot is an uncommon, chronic granulomatous fungal or bacterial infection with a predilection in people who walk barefoot. Although known for a specific geographical distribution, madura foot should be kept as a possible diagnosis in patients presenting with lytic lesions of the foot due to population emigration across the world.http://www.morthoj.org/2015/v9n1/painful-lytic-lesions.pdfLytic LesionsFootMycetomaHistopathologyInfection
spellingShingle R Vaishya
V Vijay
P Ghogare
A Vaish
Painful Lytic Lesions of the Foot : A Case Report
Malaysian Orthopaedic Journal
Lytic Lesions
Foot
Mycetoma
Histopathology
Infection
title Painful Lytic Lesions of the Foot : A Case Report
title_full Painful Lytic Lesions of the Foot : A Case Report
title_fullStr Painful Lytic Lesions of the Foot : A Case Report
title_full_unstemmed Painful Lytic Lesions of the Foot : A Case Report
title_short Painful Lytic Lesions of the Foot : A Case Report
title_sort painful lytic lesions of the foot a case report
topic Lytic Lesions
Foot
Mycetoma
Histopathology
Infection
url http://www.morthoj.org/2015/v9n1/painful-lytic-lesions.pdf
work_keys_str_mv AT rvaishya painfullyticlesionsofthefootacasereport
AT vvijay painfullyticlesionsofthefootacasereport
AT pghogare painfullyticlesionsofthefootacasereport
AT avaish painfullyticlesionsofthefootacasereport