Madura foot: a rare case of eumycetoma and proposed classification and treatment guidelines

Kow, Ren Yi and Goh, Kian Liang and Sabbir, Hussain A and Hamdan, Asmah Hanim and Low, Chooi Leng (2022) Madura foot: a rare case of eumycetoma and proposed classification and treatment guidelines. International Medical Journal Malaysia, 21 (1). pp. 137-141. ISSN 1823-4631 E-ISSN 2735-2285

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Abstract

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.

Item Type:	Article (Journal)
Additional Information:	7751/95983
Uncontrolled Keywords:	Mycetoma, madura foot, infection, fungal
Subjects:	R Medicine > RB Pathology R Medicine > RD Surgery R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation Kulliyyah of Medicine > Department of Radiology Kulliyyah of Medicine > Department of Pathology & Lab Medicine
Depositing User:	DR ASMAH HANIM HAMDAN
Date Deposited:	04 Jan 2022 08:40
Last Modified:	18 Jan 2023 15:47
URI:	http://irep.iium.edu.my/id/eprint/95983

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