Recurrent madura foot without draining sinuses: a case report

Authors

  • Chandrashekhar C. Mahakalkar Department of Surgery, JNMC, Sawangi (Meghe), Wardha
  • Meenakshi Yeola Department of Surgery, JNMC, Sawangi (Meghe), Wardha
  • Darshana Tote Department of Surgery, JNMC, Sawangi (Meghe), Wardha
  • Jalaj Jain Department of Surgery, JNMC, Sawangi (Meghe), Wardha
  • Niket Jain Department of Surgery, JNMC, Sawangi (Meghe), Wardha

Keywords:

Actinomycosis, Recurrent, Madura foot, Draining sinuses

Abstract

Madura foot or mycetoma is a chronic granulomatous disease characterized by localized infection of subcutaneous tissues by actinomycetes or fungi. The recurrence rate for the disease if treated inadequately is very high. Recurrence presents with swelling and multiple discharging sinuses. This is an unusual presentation of the disease without discharging sinuses which is probable the first report of this kind in the literature. A 34 year old, male, presented with the painless, progressive swellings over right foot since 4 years. No sinuses or discharge could be found on skin surface. The postoperative recurrence rate is very high, and this can be local or distant at the regional lymph nodes. This could be due to the disease biology and behavior or inadequate surgical excision. Usually it presents with multiple sinus tracts, and granule. We reported a case with classical absence of sinus tracts in recurrent actinomycosis.

References

Khan KA, Khan AF, Masih M, et al. Clinical and pathological findings of mycetoma with special reference to the etiology. Asian Med J. 1984; 27: 250– 257.

McGinnis M, Fader R. Mycetoma: A Contemporary Concept. Infect. Dis. Clin. North Am. 1988; 2: 939-954.

Somanath Padhi, Shantveet G Uppin, Megha S Uppin, et al. Mycetoma in South India: retrospective analysis of 13 cases and description of two cases caused by unusual pathogens: Neoscytalidium dimidiatum and Aspergillus flavus. Int J of Dermatology. 2010; 49, 1289–1296.

Miller SD. Madura foot: treatment of Nocardia nova infection with antibiotics alone. Am J Orthop. 2001; 30:495-498.

Nwako FA, Obianyo NEN. Tropical ulcers and mycotic infections in the tropics. Pediatr Surg Int. 1990; 5:387-391.

Wilson DC, Redmond AOB. An unusual cause of thoracic mass. Arch Dis Child. 1990; 65:991-992.

Israel J. Neue beobachtungen auf dem gebiete der mykosen des menschen. Virchows Arch A Pathol Anat Histol. 1878; 74:15-53.

Peabody JW, Jr, Seabury JH. Actinomyces and nocardiosis. Am J Med. 1960; 28:99-115.

Bidie G. Notes on Morbus Pedis Entophyticus. Madras Quart. J. Med. Sci. 1862; 4:222-227.

Welty FK, McLeod GX, Ezratty C, Healy RW, Karchmer AW. Pseudallescheria boydii Endocarditis in the plutonic valve in a liver transplant recipient. Clin. Infect. Dis.1992; 15: 858-860.

Smego RA Jr, Foglia G. Actinomycosis. Clin Infect Dis. 1998; 26:1255-1261.

Ahmed AO, van Leeuwen W, Fahal A, et al. Mycetoma caused by Madurella mycetomatis: a neglected infectious burden. Lancet Infect Dis. 2004;4:566–574.

Fahal AH. Mycetoma thorn on the flesh. Trans. R. Soc. Trop. Med. Hyg. 2004; 98:3-11.

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Published

2017-01-27

How to Cite

Mahakalkar, C. C., Yeola, M., Tote, D., Jain, J., & Jain, N. (2017). Recurrent madura foot without draining sinuses: a case report. International Journal of Research in Medical Sciences, 1(3), 291–293. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2610