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Madura foot

A report of two cases

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Summary

Two cases of Madura foot which originated in the Middle East are described. This so-called maduramycosis is a chronic progressive infection caused by thread fungi or actinomycetes. The diagnosis is confirmed when the grains of mycetoplaits are demonstrated in the discharge from a sinus. Clinical findings and treatment are discussed. Medical treatment may be needed for several months, but operation is indicated for infections caused by the true fungi (eumycetoma).

Résumé

Présentation de deux cas de pied de Madura originaires du Moyen-Orient. Cette maduramycose est une infection chronique progressive due à des filaments mycéliens ou actinomycètes. Le diagnostic peut être affirmé lorsqu'on met en évidence dans l'écoulement s'évacuant par les fistules des grains constitués d'amas de filaments mycéliens. Les constatations cliniques et le traitement sont discutés. Le traitement médical doit parfois être poursuivi plusieurs mois, mais une intervention chirurgicale peut être indiquée en présence d'infections dues à de véritables mycoses (ou eumycétomes).

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Suttner, JF., Wirth, C.J., Wülker, N. et al. Madura foot. International Orthopaedics 14, 217–219 (1990). https://doi.org/10.1007/BF00180132

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