A case report of Maduramycosis.

Abstract

Maduramycosis is a chronic progressive granulomatous condition which causing infection of the skin which ultimately leads to involvement of the bone. Causative organisms maybe either bacteria (actinomycetoma) or fungi (eumycetoma). The causative organism is inoculated usually after minor foot trauma and so it is more often seen in barefoot-walking populations exposed to contaminated soil during minor injuries. It is common in adults aged between 20 to 50 years. The classical clinical features are tumefaction, fistulization of the abscess, and extrusion of coloured grains. In the active phase of the disease the colour of these extruded grains from the fistulas aid in diagnosis. Radiography, ultrasonography, MRI, cytology, histology, immunodiagnosis, and culture are the investigations which are used for diagnosis.