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Reading: Madurella grisea: a case report on an uncommon cause for mycetoma

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Case Reports

Madurella grisea: a case report on an uncommon cause for mycetoma

Authors:

M. N. Jayawardena ,

Medical Research Institute, Colombo 8, LK
About M. N.
Department of Mycology
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N. N. T. M. Wickremasinghe,

Base Hospital, Mahiyanganaya, LK
About N. N. T. M.
Dermatology Unit
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P. I. Jayasekera

Medical Research Institute, Colombo 8, Sri Lanka, LK
About P. I.
Department of Mycology
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Abstract

Madura foot is a disfiguring, disabling condition, found in the tropics and subtropics. We present a case of a farmer who presented with swelling and multiple discharging sinuses in his left foot. The offending organism, Madurella grisea was identified by fungal culture. The patient was managed with local excision combined with systemic antifungal therapy. So far, the patient has made an uneventful recovery, with no recurrences. The laboratory diagnosis proved difficult, given the limited resources. We wish to highlight the difficulties faced in diagnosis and management of this condition, as response to antifungals are dependent on the pathogen, and adherence to long term antifungals are crucial.
How to Cite: Jayawardena, M.N., Wickremasinghe, N.N.T.M. & Jayasekera, P.I., (2017). Madurella grisea: a case report on an uncommon cause for mycetoma. Sri Lankan Journal of Infectious Diseases. 7(2), pp.127–130. DOI: http://doi.org/10.4038/sljid.v7i2.8140
Published on 16 Oct 2017.
Peer Reviewed

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