Рентгенология & Радиология, 2018, LVII 311-314

Soft tissue mycetomas

  1. Maleeva


Mycetoma is rare chronic infection of skin and subcutaneous fat tissues, muscles, tendons and joints in tropical regions like Africa, Asia and Latin America. Microbiological classification of the Mycetoma is: true fungi (Eumycetoma)-40% of cases or by filamentous bacteria (Actinomycetoma)-60% of cases. Since the treatment of these two etiologies is entirely different, a definite diagnosis after histopathological and microbiological examination is mandatory. The most common site of occurrence is the foot (approximately 70% of cases), which explains the synonym „Madura foot” [2]. Hand is the next most common site.

Most of the time these patients end up into the Radiology department with a slow growing soft tissue mass. Repeated minor trauma or penetrating injury provides a

portal of entry for the organism. The incidence of Mycetoma is likely to rise due to increases in worldwide travel [7]. Here we are describing a case of Madura foot that was correctly diagnosed after detailed clinical, imaging, histopathological and microbiological studies [6]. The patient was primarily referred to radiology department with complain of soft tissue firm, slow growing mass. The patient has visited South Africa, Senegal, Sierra Leone, Somalia and Sudan as a tourist.