By Gary M. White, MD
Madura foot represents an infection caused by eumycetes (true fungi, e.g., Madurella mycetomi, Madurella grisea, and Pseudallescheria boydii) or actinomycetes (bacteria, e.g., Nocardia brasiliensis, Streptomyces somaliensis, and Actinomaduramadurae).
- Xrays help to define the extent and detect bone involvement.
- Cultures should be done.
- Eumycetoma occurs commonly in Mexico, Guatemala and South America.
- The term Madura foot was first introduced by Carter to describe this condition commonly found in Madura, India.
A painless swelling of the foot with multiple sinus tracts discharging serosanguinous purulent fluid and grains results.
Medical management is more successful with the actinomycetomas whereas eumycetomas require surgical intervention. In some cases of eumycetoma, itraconazole has been helpful.
N Engl J Med 2012; 366:e2January 5, 2012
Acta Dermato-Venereologica 2015;95;374
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