Resistant Actinomycotic Mycetoma: A Case Report

Abstract

Introduction: Mycetoma Pedis is the most common form of Eumycetoma known widely as the Madura Foot. Favourable respnoses have been reported with drug therapy alone even in long-standing lessions with involvement of bone and lymphatics. The case report aims to present a case of Madura Foot in an adult male residing in a geographically non-prevalent region for the disease; who required amputation because of failure of resolution after medical therapy alone. Case Presentation: A 50-year-old male presented with complaints of Swelling and Discharge from Multiple Sites over the Right Leg x 3 years. Discussion: The disease is usually seen in field workers like farmers of tropical and sub-tropical regions and generally affects males between 20 and 40 years. Ideally, specific therapy depends on the identification of the causative agent and determination of its drug sensitivity. Only a few cases have been reported where amputation was required after medical therapy failure. Conclusion: Favourable respnoses have been reported with drug therapy alone even in long-standing lessions with involvement of bone and lymphatics. Exploration and drainage of sinus tracts, debridement of diseased tissue, and removal of bone cysts assist greatly in healing especially in resistant cases.