Madura Foot: A Rare Case of Eumycetoma and Proposed Classification and Treatment Guidelines
| Autor: | Ren Yi Kow, Kian Liang Goh, Aziz Sabbir Husain, Asmah Hanim Hamdan, Chooi Leng Low |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | IIUM Medical Journal Malaysia. 21 |
| ISSN: | 2735-2285 1823-4631 |
| DOI: | 10.31436/imjm.v21i1.1473 |
| Popis: | Madura foot or mycetoma pedis is a chronic granulomatous disease of the foot caused by fungus or gram-positive aerobic bacteria. It is commonly encountered in tropical and subtropical countries but is rare in Malaysia. We reported a 40-year-old Rohingya refugee who has been resident in Malaysia for the past 11 years presented with a long-standing left foot mass that was proven to be a eumycetoma. A wide local excision of the mass and full-thickness skin graft were done, followed by a course of 6-month postoperative itraconazole. He subsequently recovered well without sequela. A high index of suspicion should be raised in a patient presenting with a chronic mass and discharging sinus in order to diagnose and treat mycetoma as early initiation of therapy leads to better outcomes. Based on literature review, we propose a new classification of eumycetoma and its treatment guideline. |
| Databáze: | OpenAIRE |
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