Madura foot: a case report
Ahmed Bouhamidi, Mohammed Boui
The Pan African Medical Journal. ;30:131. doi:10.11604/pamj..30.131.15045

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Images in clinical medicine

Madura foot: a case report

Ahmed Bouhamidi, Mohammed Boui
Pan Afr Med J. 2018; 30:131. doi:10.11604/pamj.2018.30.131.15045. Published 14 Jun 2018



A 24-year-old girl, without any significant medical history. with seven months' history of a painful tumefaction of his left foot. Physical examination revealed a tumefaction that discharges a purulent exudate containing black granules via skin fistulas. Direct microscopic examination of grains suggests a fungal infection. Standard X-rays of his foot showed no lesion of the bone. So with the combination of the clinical specific lesions and typical grains, a diagnosis of Madura foot was made and the patient treated with surgical debridement, followed by Ketoconazole for 12 months, she is under regular monitoring. Mycetoma is characterized by a clinical triad of chronic induration, draining sinuses and discharge of granules. It is either actinomycotic or eumycotic in etiology. It is endemic in tropical and subtropical countries.


Corresponding author:
Ahmed Bouhamidi, Military Hospital of Instruction Mohammed V, Department of Dermatology, Rabat, Morocco
docteurbouhamidi@gmail.com

©Ahmed Bouhamidi et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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