Mycétome actino-mycosique du pied, à propos d’un cas

Primary Actinomycosis of the Foot in a 37-year-old female Patient: A Case Study and Review of the Literature.

“…When penicillin is administered for several months and surgical procedures are performed, when necessary, the outcome for these patients is excellent. [8] If the diagnosis is delayed, the affected part may have to be amputated. We present a case of histologically proven mycetoma with MrI features characteristic of the recently described "dot-in-circle" sign.…”

“…We present a case of histologically proven mycetoma with MrI features characteristic of the recently described "dot-in-circle" sign. [8] Despite the fact that biopsy and microbiological culture provide definitive diagnoses, these are often difficult to obtain. [9] as a result of the breakdown of nodules and formation of discharging sinuses, bacterial infections may progress to full-blown bacteremia or septicemia, leading to death.…”

“…remission and exacerbation of symptoms occurring in parallel sequence with the initiation and cessation of therapy is a phenomenon that should increase suspicion of actinomycosis in any of its manifestations. [2] Microbiology, histopathology, and MrI revealed the presence of an unusual infectious agent, actinomyces spp., which is also known as Madura foot [3] This implies a serious difficulty in getting a bactericidal concentration of the effective drug into areas of active infection and seriously questions the possibility of restoring the involved tissues [4,8] The diagnosis was confirmed by isolation of the organisms by anaerobic culture giving typical molar tooth colonies. Final confirmation was done by histopathological examination.…”

Interest of Moringa oleifera in the Treatment of Fungal Mycetoma

“…The involvement outside the soft parts can be manifested at the articular and extra synovial level as in the case of Thiouri where there was a fusing carpet. Iniesta [15] found the same lesions in the type of destructions and fusion of the leg and foot bones after 20 years of evolution [14,15].…”

A possible Madura foot from medieval Estremoz, southern Portugal

“…These three individuals had never been outside Continental Portugal so they must have been infected in Europe, although it is not clear if the presence of these pathogens is related with peoples' movement to and from Africa, especially within the then Portuguese Overseas Provinces, such as Mozambique, Angola and Guinea. Recently more cases have been reported, especially among migrant populations due to increased mobility of people (El Muttardi et al, 2010;Buonfrateet al, 2014;Iniesta et al, 2015). One of these cases was reported in Portugal: a 43-yearold female born in Cape Verde from whose infection molecular diagnosis revealed the presence of Madurellamycetomatis (Mestre et al, 2015).…”