A Surprise in the Left great toe

  • Jayashree B Sri Ramachandra Medical college & Research Institute, Sri Ramachandra University
  • J Thanka Sri Ramachandra Medical college & Research Institute, Sri Ramachandra University
  • G Barathi Sri Ramachandra Medical college & Research Institute, Sri Ramachandra University
Keywords: Eumycetoma, madurafoot, fungal infection, discharging sinus.

Abstract

Mycetoma is a chronic inflammatory disease affecting the subcutaneous tissue. It presents as a local swelling with discharging sinuses containing granules. Mycetoma or madura foot are fungal infections caused by true fungi (eumycetoma).The classical presentation of a mycetoma foot are painless subcutaneous lesion,multiple sinuses and seropurulent discharge containing grains. An accurate diagnosis is obtained by histopathological examination.Our case was a 60 year old male with left great toe swelling, a rare clinical presentation, incidentally diagnosed to have Madura foot (Eumycetoma). 

Author Biographies

Jayashree B, Sri Ramachandra Medical college & Research Institute, Sri Ramachandra University
Jayashree.BMD Pathology-Finalyear Post graduate,Sri Ramachandra Medical College & Research Institute
J Thanka, Sri Ramachandra Medical college & Research Institute, Sri Ramachandra University
Dr.Mrs.J.Thanka MD, DNB (PATH) Professor of Pathology,Sri Ramachandra Medical college& Research institute.
G Barathi, Sri Ramachandra Medical college & Research Institute, Sri Ramachandra University
Dr.G.Barathi  MD.,DNB(Path).,DCPAssistant Professor,Sri Ramachandra Medical College & Research Institute.

References

1. Asly M, Rafaoui A, Bouyermane H, Hakam K, Moustamsik B, Lmidmani F, Rafai M, Largab A, Elfatimi A. Mycetoma (Madura foot): A case report. Annals of physical and rehabilitation medicine. 2010 Dec 31;53(10):650-4.
2. Bonifaz A, Tirado-Sánchez A, Calderón L, Saúl A, Araiza J, Hernández M, González GM, Ponce RM. Mycetoma: experience of 482 cases in a single center in Mexico. PLoS Negl Trop Dis. 2014 Aug 21;8(8):e3102.
3. Desale SS, Nikumbh DB, Kanthikar SN, Surana A. Cytodiagnosis of Primary Actinomycotic Mycetoma of The Foot: A Case Report. Journal of Interdisciplinary Histopathology. 2015;3(1):42-4.
4. Alam K, Maheshwari V, Bhargava S, Jain A, Fatima U, ul Haq E. Histological diagnosis of madura foot (mycetoma): a must for definitive treatment. Journal of global infectious diseases. 2009 Jan 1;1(1):64.
5. Chufal SS, Thapliyal NC, Gupta MK. An approach to histology-based diagnosis and treatment of Madura foot. The Journal of Infection in Developing Countries. 2012 Sep 17;6(09):684-8.
6. Cherian RS, Betty M, Manipadam MT, Cherian VM, Poonnoose PM, Oommen AT, Cherian RA. The “dot-in-circle” sign—a characteristic MRI finding in mycetoma foot: a report of three cases. The British journal of radiology. 2014 Feb 13.
7. Jain V, Makwana GE, Bahri N, Mathur MK. The" dot in circle" sign on MRI in maduramycosis: a characteristic finding. Journal of clinical imaging science. 2012 Jan 1;2(1):66.
8. Gabhane SK, Gangane N. Cytodiagnosis of Eumycotic Mycetoma. Acta cytologica. 2008 Jul 1;52(3):354-6.
9. Ahmed AO, van Leeuwen W, Fahal A, van de Sande W, Verbrugh H, van Belkum A. Mycetoma caused by Madurella mycetomatis: a neglected infectious burden. The Lancet infectious diseases. 2004 Sep 30;4(9):566-74.
10. Hopps S, Roach A, Yuen C, Borders E. Treatment for a eumycetoma infection caused by Aspergillus in an immunocompromised host: a case report. Transplant Infectious Disease. 2015 Feb 1;17(1):94-7.
Published
2018-03-22
Section
Case Report