Madura foot (Mycetoma) with unusual presentation - Study of five cases
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Backgruound: Mycetoma is a chronic and progressive subcutaneous granulomatous infection characterised by a triad of painless swelling and tumefaction, draining sinus tracts and purulent discharge consisting of granules. It can mimic squamous cell carcinoma or soft tissue sarcoma of the foot. Surgical incision and biopsy is must for diagnosis. Methodology: This is a retrospective study of 5 patients who underwent incisional biopsies of foot in various hospitals in and around Mangaluru and in Yenepoya Medical College and hospital, Mangaluru from October 2013 to August 2016. Histopathological diagnosis was made. Periodic acid sciff stain was done in each case. Results: Among the 5 cases studied of Madura foot, four (90%) were males (n=4) and one (10%) was female (n=1) with a ratio of 4:1. This indicates the male preponderance of Madura foot. Mycetoma cases were divided into eumycetoma and actinomycetoma. Three (75%) cases were actinomycotic and two (25%) cases were eumycotic. Maximum number of patients with mycetoma were in the age group of 40-55 years. PAS stain and Gram stain done in all cases. Conclusion: In conclusion, it is important to maintain a high index of suspicion for an infectious agent causing a focal mass. With this in mind, it is essential to remember the maxim: biopsy every infection and culture every tumour.
Authors and Affiliations
Namrata Sharan Sinha, Krishnaraj Upadhyaya
Keywords
Related Articles
- EP ID EP207587
- DOI -
- Views 80
- Downloads 0
A study of theuraptic response to gentamycin on CSF of the Paediatric patients with meningitis
Introduction: Bioavailability of a drug is altered in paediatric age group especially due to many variable factors, like, larger body surface in proportion to body-wt., changes in hematocrit values and phases of maturati...
Comparative study of two dose regimen of tranexamic acid for control of blood loss in total knee arthroplasty
Background: Tranexamic acid (TXA) has been reported to reduce blood loss and be cost effective in many areas of orthopaedic surgery. TXA may be administered intra-venous (IV) or topically in the surgical wound or by intr...
A study of prevalence pattern of psychiatric co-morbidity in patients with HIV
Background: Psychiatric and psychological issues associated with HIV infection have received considerable attention in the last decade owing to the emotional impact of the disease and its effect on individuals personal s...
Effect of Vipassana meditation on lipid profile
Vipassana is one of India's most ancient meditation techniques. The study is undertaken to find out the effect of Vipassana intervention in reducing the severity of risk factor lipid profile through a self controlled tri...
Determination of Placental thickness using two dimensional sonography and its relation with gestational age
Introduction: An abnormal placental size has been linked to increased perinatal complications, including IUD and IUGR. Location, size, shape and architecture of placenta are easily ascertained with 2 dimensional technolo...