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Imaging of Madura foot: Case report. | LitMetric

AI Article Synopsis

  • The text discusses a rare chronic infection called Madura foot or mycetoma, characterized by granulomatous tissue damage that affects subcutaneous tissues and bones.
  • Early diagnosis is important and can be aided by MRI imaging, especially when the distinct "dot-in-circle" sign is present, with CT scans providing better detail than regular X-rays.
  • Identifying the specific infectious agent (either a fungus or the bacterium Actinomyces) is crucial for effective treatment, which can be complex and may lead to amputation if not diagnosed promptly.

Article Abstract

The case presented illustrates a very rare chronic granulomatous disease called the Madura foot or also called mycetoma. It is a chronic granulomatous disease, caused by a contained infection that penetrates the subcutaneous tissues and spreads to the nearby bone by damaging the affected area's vascularization. Early diagnosis is greatly aided by clinical history and imaging, especially if the "dot-in-circle" sign-a pathognomonic marker of mycetoma-is seen on the MRI. Compared to ordinary radiographs, computed tomography offers a more accurate study of changes in the bone. In order to apply the appropriate course of treatment, it is critical to identify the causal species, which can be caused by either a true fungus (eumycetoma) or a bacterium Actinomyces (Actinomycetoma). Treatment can be extremely challenging and can even result in amputation, particularly if the diagnosis is delayed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366911PMC
http://dx.doi.org/10.1016/j.radcr.2024.07.042DOI Listing

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