Abstract:
Mycetoma or Maduramycosis is a chronic granulomatous infectious condition encountered mostly in tropical and subtropical regions. It affects the deep subcutaneous tissues, which may progress to involve the muscles and bones later in the course of the disease. It can be caused by fungi (eumycetoma), and bacteria (actinomycetoma) predominantly affecting the foot. Demonstration of the causative agent by biopsy and microbiological studies helps to establish a confirmative diagnosis, and choosing correct antimicrobial therapy. However, it may be delayed resulting in increased patient morbidity. Thus, imaging plays a vital role in early recognition & prompt treatment, especially MRI which is a non-invasive procedure demonstrating the hallmark dot in circle sign. Here we report a case of mycetoma foot with pathognomic MRI findings.
摘要:
Mycetoma或Maduramycosis是一种慢性肉芽肿性传染病,主要在热带和亚热带地区遇到。它会影响深层皮下组织,在疾病的后期可能会进展到涉及肌肉和骨骼。它可以由真菌(eumycetoma)引起,和细菌(放线菌瘤)主要影响足部。通过活检和微生物学研究证明病原体有助于建立确认诊断,选择正确的抗菌治疗。然而,它可能会延迟导致患者发病率增加。因此,成像在早期识别和及时治疗中起着至关重要的作用,尤其是MRI,它是一种非侵入性的程序,显示圆圈中的标志点。在这里,我们报告了一例具有病理学MRI表现的足肌瘤。