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

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

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