Acta Diabetologica | 2021
Chronic Madura foot in a patient with Charcot foot
Abstract
1 Department of Dermatology, CHU Rouen, 1 rue de Germont, 76031 Rouen Cedex, France 2 Department of Endocrinology, Diabetes and Metabolic Diseases, CHU Rouen, Rouen, France Mycetoma, also termed Madura foot, is a tropical disease characterized by painless swelling, multiple sinus formation, and discharge of granules which is caused by filamentous actinobacteria or fungi [1]. Two groups of organisms can cause Madura foot by direct inoculation via the skin with contaminated soil: true fungi (eumycetoma) or filamentous bacteria (actinomycetoma) [1]. Chronic Madura foot infection leads to dissemination to bone and muscle, which causes deformities and loss of function of the infected limb. Unfortunately, aggressive surgery or amputation is often inevitable especially in cases of Madura foot unresponsive to antibiotics [2]. Here, we describe a case of Madura foot in a diabetic patient who presented Charcot neuroarthropathy.