Mycetoma

Mycetoma (Madura foot/maduromycosis/maduromycetoma) is chronic destructive infection of skin/subcutaneous tissue/bone with swelling/fistulae/colored granules. Tropical humid rainy regions; India/Sudan/Mexico; men > women, middle-aged, barefoot workers.

Common Symptoms

Papule; periostitis; corn; pustule; osteoporosis; osteolysis; abscess

Causes and Pathogenesis

Two types: actinomycotic mycetoma (Nocardia/Actinomadura/Streptomyces) and eumycotic mycetoma (>20 species). Pseudallescheria boydii can disseminate hematogenously to brain/meninges/lung/bone. Scedosporium also. Actinomycotic = Actinomyces israelii/naeslundii/odontolyticus, mostly endogenous. Dermatophytes (T. rubrum/verrucosum/M. ferrugineum/Scopulariopsis) rarely cause mycetoma.

Treatment

Drug therapy, supportive therapy

Preventive Measures

Avoid skin trauma in field work; wound care; early treatment of small lesions.

Department to Visit

It is recommended to visit the Dermatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.