[Mycetoma pedis (Madura foot)]

Mycetoma pedis or Madura foot is rare in central Europe but has a wide distribution in the tropics. In roentgendiagnostic there are a destruction of the cortical margin and lytic zones in the spongiosa. Older bone manifestations show sclerosis. Periosteal reaction provokes spicules and only seldom "onion peel" patterns.