Long-term radiographic features of Madura foot

Serfaty, Aline; Araújo, Augusto Righetti Vieira Ferreira de; Severo, Alessandro; Canella, Clarissa; Marchiori, Edson

doi:10.1016/j.jbspin.2019.09.007

Cited by 1 publication

(3 citation statements)

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“…Hoogervorst LA et al (29) reported noncontiguous disseminated small hypointense lesions scattered within the tibial bone marrow in an immunocompromised patient without any bone involvement. Advanced long term disease results in extensive osteolysis, sclerosis and bony ankylosis (23). The salient radiological features that have been described in the earlier literature are summarized in table 1.…”

Section: Discussionmentioning

confidence: 99%

“…As a general observation, most authors have reported aggressive patterns of bone destruction of which moth-eaten pattern and permeative type are the most common (11,(20)(21)(22)(23)(24)(25). Aggressive forms of periosteal reaction such as interrupted, lamellated and spiculated patterns have been described as frequent associations (11,15,20,(23)(24)(25). As in our case, few authors have also reported nonaggressive solid form of periosteal reaction (11,26,27).…”

Section: Discussionmentioning

confidence: 99%

“…Bone involvement includes bone destruction, sclerosis, periosteal reaction and resultant deformities. As a general observation, most authors have reported aggressive patterns of bone destruction of which moth-eaten pattern and permeative type are the most common (11,(20)(21)(22)(23)(24)(25). Aggressive forms of periosteal reaction such as interrupted, lamellated and spiculated patterns have been described as frequent associations (11,15,20,(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

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From a Radiologist’s Eye: a Case Report of Actinomycetoma of the Foot With Comprehensive Review of Literature

2024

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Background: Tropical diseases comprise of an array of communicable and non-communicable diseases that prevail in the tropical belt. Madura foot, classified as a tropical disease by WHO, is a chronic granulomatous disease that predominantly involves the skin and subcutaneous tissue, commonly affecting the lower limbs. We present a case of actinomycetoma with extensive review of the existing literature, focusing on diagnostic imaging. Case presentation: A 36-year-old female from eastern India presented with a six-month history of right foot swelling and a discharging wound. She was unsuccessfully treated with multiple courses of antibiotics in local hospitals. Upon referral, radiological investigations were performed for further evaluation. USG showed infiltrative hypoechoic soft tissue with nodular lesions showing targetoid appearance. MRI revealed infiltrative soft tissue with variable sized nodular lesion showing characteristic ‘dot-in-circle' appearance, prompting the diagnosis of pedal mycetoma. Actinomycetoma was confirmed on biopsy. Conclusions: Pedal mycetoma presents significant diagnostic and therapeutic challenges owing to its insidious progression and delayed diagnosis. Radiological imaging, particularly MRI, plays a pivotal role in diagnosis and staging of the disease, enabling detailed evaluation of soft tissue and bone involvement. The ‘dot-in-circle' sign observed on imaging is pathognomic and aids in accurate diagnosis. Early diagnosis facilitated by diagnostic imaging warrants improved therapeutic outcomes.

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Section: Discussionmentioning

confidence: 99%