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Mycetoma foot.
Somnath Gooptu1, Iqbal Ali, Gurjit Singh
1Department of General Surgery, Padm Dr. D. Y. Patil Medical College, Pimpri, Pune, India.
Journal of Family & Community Medicine
|August 29, 2013
Summary
Mycetoma, a chronic infection causing foot swelling, is often diagnosed late. Early detection and treatment with multi-drug therapy and debridement led to symptom relief in a Nocardia case.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Dermatology
Background:
- Mycetoma is a chronic granulomatous infection affecting skin and subcutaneous tissues, endemic in tropical regions.
- It is characterized by the presence of sinuses discharging granules and often presents with swelling and nodules.
- Nocardia species are among the causative agents of mycetoma, a disease requiring timely diagnosis and management.
Observation:
- A patient presented with left foot swelling, a healed sinus, and a painful nodule.
- History revealed sinuses with yellow granular discharge from the left foot.
- Ultrasound-guided fine needle aspiration cytology confirmed Nocardia species growth.
Findings:
- The patient received multi-drug therapy combined with surgical debridement of the nodule.
- Significant symptomatic relief and regression of swelling were observed within three months.
- This case highlights the successful management of Nocardia mycetoma.
Implications:
- Late diagnosis is common due to the slow progression of mycetoma.
- Health education emphasizing protective footwear is crucial to prevent infection.
- Prompt diagnosis and appropriate treatment are essential for favorable outcomes in mycetoma patients.
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