Abstract Although mycetoma is a rare disease in the United States, it is important that it be considered clinically in every infection which is characterized by the development of tumefactions and sinuses. The disease progresses slowly and, at first, undergoes periods of remissions and relapses. After a period of months or even years, the classical picture of swellings and deformity will develop as the infection extends deeper into the muscles and bones. Granules which appear in the pus must receive careful mycological study in order that a therapeutic attack may be planned. So far as we have been able to determine, no case of mycetoma originating in California due to a fungus resembling Nocardia madurae has previously been reported. Report of a Case A 36-year-old white American woman suffered a severe contusion of the right great toe when a heavy piece of steel dropped on her foot References 1. References 2 and 3. 2. Blumenfield, C. M.: Personal communication to the authors, January, 1955. 3. A letter from the patient dated May 11, 1956, stated that her foot was "O.K." and that she worked as a waitress eight hours a day without its swelling. 4. Conant, N. F.; Smith, D. T.; Baker, R. D.; Callaway, J. L., and Martin, D. S.: Manual of Clinical Mycology , Ed. 2, Philadelphia, W. B. Saunders Company, 1954. 5. Wood, D. A.: Maduromycosis of the ankle , California & West. Med. 62:119 ( (March) ) 1945. 6. Gottlieb, A.: Madura Foot: 2 cases , West. J. Surg. 52:264 ( (June) ) 1944. 7. Clough, F. E.: Madura Foot , West. J. Surg. 53:153 ( (May) ) 1945. 8. Lovejoy, E. D. and Hammack, R. W.: Mycetoma: Report of 4 Cases , Arch. Dermat. & Syph. 11:71 ( (Jan.) ) 1925. 9. Green, R.; Bolton, T. C., and Woolsey, C. I.: Mycetoma—Madura Foot: case of Mycetoma Pedis in Chicago , Ann. Surg. 128:1015 ( (Nov.) ) 1948. 10. Catanei, A. Sur des changements de caractères culturaux de Nocardia madurae: Étude morphologique et expérimentale , Arch. Inst. Pasteur d'Algérie 20:299 ( (Dec.) ) 1942.
A.M.A. Archives of Dermatology – American Medical Association
Published: Jul 1, 1956