THE MADURA FOOT - A CASE REPORT

Madura foot or mycetoma is a chronic granulomatous disease characterized by localized infection of subcutaneous tissues by actinomycetes or fungi. The inflammatory response can extend to the underlying bone. Mycetoma was described first in the mid 1800s and was initially called Madura foot. The inf...

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Main Authors: Nazimuddin Mohammad, Chowdhury Arif, Parvin Rukhsana, Uddin Rokon, Razzak Abdur, Hoque Moydul
Format: Article
Language:English
Published: Our Dermatology Online 2011-04-01
Series:Nasza Dermatologia Online
Subjects:
Online Access:http://odermatol.like.pl/upload/7_%20madura%20foot%20pub.pdf
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author Nazimuddin Mohammad
Chowdhury Arif
Parvin Rukhsana
Uddin Rokon
Razzak Abdur
Hoque Moydul
author_facet Nazimuddin Mohammad
Chowdhury Arif
Parvin Rukhsana
Uddin Rokon
Razzak Abdur
Hoque Moydul
author_sort Nazimuddin Mohammad
collection DOAJ
description Madura foot or mycetoma is a chronic granulomatous disease characterized by localized infection of subcutaneous tissues by actinomycetes or fungi. The inflammatory response can extend to the underlying bone. Mycetoma was described first in the mid 1800s and was initially called Madura foot. The infection can be caused by true fungi (eumycetoma) in 40%, or filamentous bacteria (actinomycetoma) in 60%.Actinomycetoma may be due to Actinomadura madurae, Actinomadura pelletieri, Streptomyces somaliensis, Nocardia species. The infection, which may remain latent for a time, forms small, subcutaneous swellings that enlarge, soften with pus, and break through the skin surface, with concurrent invasion of deeper tissues. Sulfonamide, iodide, and antibiotic therapy have been used against actinomycotic infections, but the fungi are more resistant to treatment. We reported a patient of madura foot from International Medical College Hospital, Tongi, Gazipur. A 82-years old male was admitted to the International medical college hospital with a 16 months history of swelling with multiple discharging sinuses filled with granules localized in his right foot. Pus was examined by gram staining and periodic acid Schiff (PAS) staining. Moderate number of filamentous branching gram positive bacilli were found . The organism was recognized as a member of the actinomyces genus. PAS staining did not reveal any other organism. The aggressive course and progression of the disease affected the short bones of the involved foot. The patient was diagnosed as a case of Madura foot and was treated in the same hospital.
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spelling doaj.art-9c06b0bf3ca1489e822be78203f31edd2022-12-22T01:15:46ZengOur Dermatology OnlineNasza Dermatologia Online2081-93902011-04-01227073THE MADURA FOOT - A CASE REPORTNazimuddin MohammadChowdhury ArifParvin RukhsanaUddin RokonRazzak AbdurHoque MoydulMadura foot or mycetoma is a chronic granulomatous disease characterized by localized infection of subcutaneous tissues by actinomycetes or fungi. The inflammatory response can extend to the underlying bone. Mycetoma was described first in the mid 1800s and was initially called Madura foot. The infection can be caused by true fungi (eumycetoma) in 40%, or filamentous bacteria (actinomycetoma) in 60%.Actinomycetoma may be due to Actinomadura madurae, Actinomadura pelletieri, Streptomyces somaliensis, Nocardia species. The infection, which may remain latent for a time, forms small, subcutaneous swellings that enlarge, soften with pus, and break through the skin surface, with concurrent invasion of deeper tissues. Sulfonamide, iodide, and antibiotic therapy have been used against actinomycotic infections, but the fungi are more resistant to treatment. We reported a patient of madura foot from International Medical College Hospital, Tongi, Gazipur. A 82-years old male was admitted to the International medical college hospital with a 16 months history of swelling with multiple discharging sinuses filled with granules localized in his right foot. Pus was examined by gram staining and periodic acid Schiff (PAS) staining. Moderate number of filamentous branching gram positive bacilli were found . The organism was recognized as a member of the actinomyces genus. PAS staining did not reveal any other organism. The aggressive course and progression of the disease affected the short bones of the involved foot. The patient was diagnosed as a case of Madura foot and was treated in the same hospital.http://odermatol.like.pl/upload/7_%20madura%20foot%20pub.pdfMadura footActinomycesgranulespathogensBangladesh
spellingShingle Nazimuddin Mohammad
Chowdhury Arif
Parvin Rukhsana
Uddin Rokon
Razzak Abdur
Hoque Moydul
THE MADURA FOOT - A CASE REPORT
Nasza Dermatologia Online
Madura foot
Actinomyces
granules
pathogens
Bangladesh
title THE MADURA FOOT - A CASE REPORT
title_full THE MADURA FOOT - A CASE REPORT
title_fullStr THE MADURA FOOT - A CASE REPORT
title_full_unstemmed THE MADURA FOOT - A CASE REPORT
title_short THE MADURA FOOT - A CASE REPORT
title_sort madura foot a case report
topic Madura foot
Actinomyces
granules
pathogens
Bangladesh
url http://odermatol.like.pl/upload/7_%20madura%20foot%20pub.pdf
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