A Case of Madura Foot Treated with Penicillin
نویسنده
چکیده
A HINDU MALE, aged 45 years, of Sarangarh State (E.S.A.), was admitted into the hospital on 21st June, 1945, with swelling of the left foot which was riddled with sinuses, discharging pus and yellow ' sulphur-like' granules; duration 1? months. The swelling started from the sole and gradually involved the whole foot. The foot was deformed and anatomical landmarks were distorted. It was thickened, considerably swollen and its length was diminished. The foot had an ovoid form, the toes being separated and directed upwards and the sole convex. There was hectic temperature. Smear examination of pus revealed the fungus ' Actinomyces Maduraeand the case was diagnosed to be one of Madura foot. Treatment.?Preliminary treatment with sulpha group of drugs and local antiseptic dressing for 7 days produced no improvement. Multiple radial incisions under anaesthesia followed by daily antiseptic dressing for another 7 days was also of no value. Penicillin treatment was undertaken under the kind suggestion of Dr. N. G. Ray, chief medical officer, Raigarh State. 10,000 units were given intramuscularly to start with followed by injections of 5,000 units every four hours and a total dose of 100,000 units was given, all intramuscularly. The temperature came down to normal within 36 hours of the beginning of the penicillin treatment, the pus disappeared in three days and the condition of the wound gradually improved.
منابع مشابه
A Case of Madura Foot Treated by Chemotherapy. Apparent Cure
as incurable except by amputation, the following case may be of interest, and is published in the hope that those whose opportunities of meeting this disease are greater than mine may be induced to test this treatment. Madura foot would appear to be rare in Cachar, and the case reported is the second I have seen in three years. The first refused amputation and died some four months after being ...
متن کاملNegative pressure wound therapy and skin graft in madura foot treatment.
Madura foot is a rare, loca, chronic granulomatous skin infection which commonly affects the adult male foot. Medical treatment reduces the size of the lesion but surgical excision is necessary for radical treatment. We present a case of a 59 year old male farmer diagnosed as actinomadura of the right foot treated with medical treatment, total excision, negative pressure wound therapy and split...
متن کاملThe Madura Foot: A Case of Eumycotic Mycetoma on Histopathology
Madura foot or mycetoma is a chronic granulomatous disease characterized by chronic infection of skin and subcutaneous tissues, caused by true fungi (eumycetoma) or by filamentous bacteria (actinomycetoma). It is endemic in tropical and subtropical regions where it is a real public health issue. The recurrence rate for the disease if treated inadequately is very high. Treatment modalities for b...
متن کاملPainful Lytic Lesions of the Foot: A Case Report
The presence of lytic lesions in the bones of foot raises a number of diagnostic possibilities ranging from infection, inflammatory pathology to neoplastic conditions. Although the radiological picture is not pathognomonic of any pathology, clinical history and histopathological examination can help to clinch the diagnosis. We present a case of multiple lytic lesions of the foot and discuss pos...
متن کامل