Musculoskeletal ImagingMadura foot
a chronic granulomatous disease of the feet and sometimes other sites. This disorder is also known as mycetoma or maduromycosis and in the United States may be caused by a variety of organisms, such as fungi or actinomycetes. Usually
trauma has occurred with invasion of the soft tissues by organisms that are normal soil inhabitants and their subsequent spread to underlying muscles, tendons, bones and joints. Frequently
sinus tracts develop from the infected bones.
On radiographs patients may have one or more localized bone defects or extensive soft tissue and bone disruption (Fig.1). Periostitis and sclerosis sometimes occur. Intra-articular bone fusion may lead to a melting snow appearance.
DR/RB
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AP (a) and lateral (b) radiographs of the foot demonstrate multiple foci of osteolysis with associated periostitis and soft tissue swelling.
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Madura foot, Fig.1 (a) | | Madura foot, Fig.1 (b) | |