Oueriagli Nabih Oumaima, El Bouardi Nizar, Haloua Meriam, Alami Badreddine, Lamrani Youssef, Boubbou Meryem, Maaroufi Mustapha
Department of Radiology, Faculty of Medicine, Pharmacy and Dental Care, Hassan II University Hospital of Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.
Radiol Case Rep. 2023 Aug 25;18(11):3849-3852. doi: 10.1016/j.radcr.2023.07.052. eCollection 2023 Nov.
Mycetoma or Madura's foot is a rare condition in Morocco. It is a chronic infection that affects deep subcutaneous tissues and may eventually spread to deep tissues, muscles, and bones. It is caused by fungi or bacteria and most often affects the foot. Biopsy and microbiological examination help to establish a definitive diagnosis, but may delay it. Imaging plays a crucial role in early diagnosis, particularly MRI findings that show a pathognomonic sign of mycetoma which is the dot-in-the-circle sign. Computed tomography provides a better analysis of bone changes than plain radiography. Treatment is very difficult, especially if the diagnosis is delayed, and may even lead to amputation. We present here a case of mycetoma of the foot with some MRI features.
足菌肿或马杜拉足在摩洛哥是一种罕见病症。它是一种慢性感染，会影响深部皮下组织，并最终可能蔓延至深部组织、肌肉和骨骼。它由真菌或细菌引起，最常累及足部。活检和微生物学检查有助于确诊，但可能会延误诊断。影像学检查在早期诊断中起着关键作用，尤其是磁共振成像（MRI）结果显示出足菌肿的特征性征象——“环中圆点征”。计算机断层扫描（CT）比普通X线摄影能更好地分析骨骼变化。治疗非常困难，尤其是诊断延误的情况下，甚至可能导致截肢。我们在此呈现一例具有某些MRI特征的足部足菌肿病例。
