Madura foot (Mycetoma) with unusual presentation - Study of five cases
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Backgruound: Mycetoma is a chronic and progressive subcutaneous granulomatous infection characterised by a triad of painless swelling and tumefaction, draining sinus tracts and purulent discharge consisting of granules. It can mimic squamous cell carcinoma or soft tissue sarcoma of the foot. Surgical incision and biopsy is must for diagnosis. Methodology: This is a retrospective study of 5 patients who underwent incisional biopsies of foot in various hospitals in and around Mangaluru and in Yenepoya Medical College and hospital, Mangaluru from October 2013 to August 2016. Histopathological diagnosis was made. Periodic acid sciff stain was done in each case. Results: Among the 5 cases studied of Madura foot, four (90%) were males (n=4) and one (10%) was female (n=1) with a ratio of 4:1. This indicates the male preponderance of Madura foot. Mycetoma cases were divided into eumycetoma and actinomycetoma. Three (75%) cases were actinomycotic and two (25%) cases were eumycotic. Maximum number of patients with mycetoma were in the age group of 40-55 years. PAS stain and Gram stain done in all cases. Conclusion: In conclusion, it is important to maintain a high index of suspicion for an infectious agent causing a focal mass. With this in mind, it is essential to remember the maxim: biopsy every infection and culture every tumour.
Authors and Affiliations
Namrata Sharan Sinha, Krishnaraj Upadhyaya
Keywords
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