Madura foot: a rare case of eumycetoma and proposed classification and treatment guidelines
Madura foot or mycetoma pedis is a chronic granulomatous disease of the foot caused by fungus or gram-positive aerobic bacteria. It is commonly encountered in tropical and subtropical countries but is rare in Malaysia. We report a 40-year-old Rohingya refugee, a resident in Malaysia for the past 11...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | en en |
| Published: |
International Islamic University Malaysia
2022
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/95983/7/95983_Madura%20foot%20a%20rare%20case%20of%20eumycetoma.pdf http://irep.iium.edu.my/95983/13/95983_Madura%20Foot_%20A%20Rare%20Case%20of%20Eumycetoma_Scopus.pdf http://irep.iium.edu.my/95983/ https://journals.iium.edu.my/kom/index.php/imjm/article/view/1473/1281 |
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| Summary: | Madura foot or mycetoma pedis is a chronic granulomatous disease of the foot caused by fungus or gram-positive aerobic bacteria. It is commonly encountered in tropical and subtropical countries but is rare in Malaysia. We report a 40-year-old Rohingya refugee, a resident in Malaysia for the past 11 years, who presented with a long-standing left foot mass that was proven to be a eumycetoma. Wide local excision of the mass and full-thickness skin graft were done, followed by a 6-month course of postoperative itraconazole. He subsequently recovered well without any sequela. A high index of suspicion should be raised in a patient presenting with a chronic mass and discharging sinus in order to diagnose and treat mycetoma as early initiation of therapy leads to better outcomes. Based on literature review, we propose a new classification of eumycetoma and its treatment guidelines. |
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