MADURA FOOT (MYCETOMA)

Abstract
The term Madura foot was first introduced by Colebrook,1-in 1846, to describe a growth most frequently noted on the feet of natives in Madura, India. The condition, however, had been known for many years and probably had been confused with elephantiasis. In 1860, Vandyke Carter1first designated the condition as mycetoma. Sutton2would define the disease as a "chronic infectious disorder due to a species of streptothrix, and characterized by swelling of the affected part, with subsequent disintegration of the subcutaneous structures, and the formation of sinuses which open on the surface of the skin." We might perhaps add to this the fact that these sinuses discharge grains either black, white or red. The white, also called yellow or ochroid type, is the most common, and the red is rare. OCCURRENCE OF MYCETOMA The disease is endemic in certain parts of India, and is seen at

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