Article

Mycetoma is a chronic disease, which is endemic in tropical and
subtropical countries. We report a rare case of mycetoma located on the foot of a
patient living in a temperate-climate country followed by a short discussion.
OBSERVATION: A 50-year-old woman with painless swelling in her left foot. The
swelling started after a banal penetrating injury on the sole of her left foot 23
years ago. X-rays images showed multiple osteolytic lesions of the tarsus. The
histological analyses identified the fungus madurella mycetomatis. The treatment
was radical surgery (amputation). The patient had a tibial prosthesis and
recovered an autonomous gait. DISCUSSION: Mycetoma is a chronic granulomatous
inflammatory response often with sinus tract formations due to fungal or
bacterial organisms. The infection of the forefoot is quite typical. It is a
slowly progressing disease affecting the deep dermis and subcutaneous tissues
that can extent to the underlying bones.
CONCLUSION: If it is not diagnosed early
on, mycetoma can cause functional and esthetical impairments.
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Langue : ANGLAIS ; FRANCAIS