关键词: Actinomycetoma Dot-in-circle sign Eumycetoma Madura foot Magnetic resonance imaging Ultrasound

来  源:   DOI:10.1016/j.idcr.2023.e01857   PDF(Pubmed)

Abstract:
Madura foot is a chronic granulomatous disease of the skin and underlying tissues caused by fungi or bacteria. Early diagnosis is important to avoid disfiguring limb deformities. Low clinical suspicion, limited availability of diagnostic tools, and infection with fastidious organisms may lead to misdiagnosis and delayed treatment. Imaging tests can help to make a timely diagnosis in a non-invasive manner. Here we report two patients with a non-classical clinical presentation and a more favorable differential diagnoses who were correctly diagnosed as cases of Madura foot based on the \'\'dot-in-circle sign\'\', a specific finding on magnetic resonance imaging and ultrasound.
摘要:
马杜拉足是由真菌或细菌引起的皮肤和下层组织的慢性肉芽肿疾病。早期诊断对于避免肢体畸形变形很重要。低临床怀疑,诊断工具的可用性有限,和挑剔的生物感染可能导致误诊和延迟治疗。影像学检查可以帮助以非侵入性方式及时诊断。在这里,我们报告了两名具有非经典临床表现和更有利的鉴别诊断的患者,他们根据\'\'圆圆点符号\'被正确诊断为马杜拉足病例,磁共振成像和超声的具体发现。
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