Rais Asmae, Bouardi Nizar El, Bouanani Zined, Akammar Amal, Haloua Meriem, Alami Badreddine, Lamrani Moulay Youssf Alaoui, Boubbou Meryem, Maaroufi Mustapha
Service de radiologie hôpital des spécialités, CHU Hassan II, université Sidi Mohammed Benabdellah, Fès, Maroc.
Service de radiologie hôpital mère-enfant, CHU Hassan II, université Sidi Mohammed Benabdellah, Fès, Maroc.
Radiol Case Rep. 2024 Aug 10;19(11):4747-4750. doi: 10.1016/j.radcr.2024.07.042. eCollection 2024 Nov.
The case presented illustrates a very rare chronic granulomatous disease called the Madura foot or also called mycetoma. It is a chronic granulomatous disease, caused by a contained infection that penetrates the subcutaneous tissues and spreads to the nearby bone by damaging the affected area's vascularization. Early diagnosis is greatly aided by clinical history and imaging, especially if the "dot-in-circle" sign-a pathognomonic marker of mycetoma-is seen on the MRI. Compared to ordinary radiographs, computed tomography offers a more accurate study of changes in the bone. In order to apply the appropriate course of treatment, it is critical to identify the causal species, which can be caused by either a true fungus (eumycetoma) or a bacterium Actinomyces (Actinomycetoma). Treatment can be extremely challenging and can even result in amputation, particularly if the diagnosis is delayed.
所呈现的病例说明了一种非常罕见的慢性肉芽肿性疾病，称为马杜拉足，也叫足分支菌病。它是一种慢性肉芽肿性疾病，由局限性感染引起，该感染穿透皮下组织并通过破坏受影响区域的血管分布扩散至附近骨骼。临床病史和影像学检查对早期诊断有很大帮助，特别是如果在磁共振成像（MRI）上看到“环中圆点”征——足分支菌病的一个特征性标志。与普通X线片相比，计算机断层扫描能更准确地研究骨骼变化。为了应用适当的治疗方案，确定致病菌种至关重要，其可由真正的真菌（真菌性足分支菌病）或放线菌（放线菌性足分支菌病）引起。治疗极具挑战性，甚至可能导致截肢，尤其是如果诊断延迟。
