Madura foot - mind the soil
| Autor: | B. Jemec, D. Kulendren, N. El Muttardi |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Antifungal Agents Adolescent business.industry Aerobic bacteria Somalia Madura foot Surgical debridement Emigrants and Immigrants Eumycetoma medicine.disease Actinomycetoma United Kingdom Surgery Foot Diseases Slow progression Mycetoma medicine Humans Female business Foot (unit) Fungal hyphae |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 63(7) |
| ISSN: | 1878-0539 |
| Popis: | Summary ‘Madura foot' or mycetoma is a chronic granulomatous soft-tissue infection, caused by either true fungi (eumycetoma) or Gram-positive aerobic bacteria (actinomycetoma). The infection is endemic to equatorial, tropical or sub-tropical regions. However, sporadic cases have been reported in the Western world mostly in the migrant population. The disease follows a slow progression from the time of traumatic inoculation to presentation of symptoms, characterised by a triad of chronic indurated swelling, draining sinuses and discharging granules. The granules are diagnostic as they represent collections of fungal hyphae or bacterial filaments. We present a case of a 4-year eumycetoma of the left foot in a 16-year-old Somalian girl, resident in the UK for over a year. She underwent aggressive surgical debridement with a 6-month course of anti-fungal medication. We emphasise the need for suspicion of this rare dermatosis, in view of the increasing immigrant population. |
| Databáze: | OpenAIRE |
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