Madura Foot in Female - A Case Report

Abstract

Mycetoma is a chronic, localized, slowly progressing infection of the cutaneous and subcutaneous tissues caused either by fungi (eumycetoma or implantation mycosis) or by aerobic actinomycetes (actinomycetoma). It is acquired by traumatic implantation, most commonly in the tropics and subtropics, especially in rural agricultural communities, though well recognized elsewhere in Asia. A 48 year-old male agricultural laborer  and rice farmer from khammam district  andhrapradesh india was admitted to Mamata general hospital khammam ap, with a swelling on his both ankles, without a history of trauma.  Pt has discharging sinus.The swelling had progressed slowly but painlessly over 2 years. Ten days before admission the foot had increased considerably in size and became very painful, preventing her from walking. Gram stain and bacterial culture of tissue biopsies revealed a branching filamentous Gram-positive bacterium that was subsequently identified as Actinomadura madurae. She was treated with long-term co-trimoxazole and multiple 3-week cycles of amikacin with a good therapeutic response. We report the patient with actinomycetoma from Khammam. The disease should be considered in the differential diagnosis of chronic skin and bone infections in patients from rural SE Asia.

Keywords: Mycetoma, Madura foot, Actinomadura madurae