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Skin-nontumor / Clinical Dermatology

Infectious disorders

Fungi - Maduramycosis

Reviewer: Nat Pernick, M.D., Pathology Outlines.com, Inc. (see Reviewers page)
Revised: 25 July 2011, last major update July 2011
Copyright: (c) 2002-2011, PathologyOutlines.com, Inc.

General
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● Maduromycosis usually involves feet, and appears as a nodule or abscess, which progresses over months to years to a chronic infection with granulomatous nodules drained by skin sinuses, leading to deformities involving the bones
● May be due to bacteria (70%) or fungi (30%)
● Fungi include Madurella mycetomi; bacteria include Nocardia brasiliensis
● First described in Madurai, India
● Mycetoma caused by microaerophilic actinomycetes is termed actinomycetoma; mycetoma caused by true fungi is called eumycetoma (eMedicine)
● Note: actinomycosis affects the cervical-facial, thoracic and pelvic areas; these bacteria are smaller than in maduromycosis

Case reports
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● 35 year old woman from India with steadily growing lump on foot (The Foot and Ankle Online Journal 2011;4:2)

Clinical images
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Madura foot

Micro images
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Contributed by Professor Venna Maheshwar, Drs. Kiran Alam and Anshu Jain, J. N. Medical College, India

Various images

End of Skin-nontumor / Clinical Dermatology > Infectious disorders > Fungi - Maduramycosis

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