Mycetoma (Madura Foot) / MedUrgent

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 Mycetoma (Madura Foot)




This is a chronic granulomatous disease that affects mainly the limb but it can be seen on the abdominal wall and chest. The disease is caused by Actinomycetes (transitional forms between bacterai and fungi) and Eumycetes (true fungi). It is endemic in Africa, India, South and Central America.

Clinical: Madura Foot is common among field workers who contract it from soil. The causative organism spreads from the skin into deeper tissue forming granuloma and discharging sinuses. The color of the discharge from these sinuses varies with the causative organism(e.g. black color discharge is caused by Madurella mycetomatis, white and yellow dicharge by Actinomadura madurae, red colored discarge by Actinomadura pelletieri) Bacterial causes include Nocardia (yellow discarge) and Streptomyces (yellow or red discharge). The disease leads to swelling, deformation and loss of function of the affected limb.









Investigations

-Fine needle aspirate

-Tissue biopsy

-Radiology


Treatment

-Ketoconazole

-Voriconazole


-Surgery     

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