ArticleInternational medical case reports journal2026
Surgical Management and Antifungal Therapy for Extensive Eumycetoma of the Right Foot: A Case Report from Resource Limited Settings.
Article in International medical case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Advanced Eumycetoma of the Right Foot Resulting in Below-Knee Amputation in Somalia: A Case Report.International medical case reports journal · 2026Article
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8 authors.
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Abstract
Introduction: Mycetoma is a neglected tropical disease characterized by chronic granulomatous infection of the subcutaneous tissues. It is classified etiologically into actinomycetoma (bacterial) and eumycetoma (fungal). Differentiation is vital as the management protocols differ significantly. Case Presentation: We report the case of a 25-year-old male from the Hiran region of Somalia who presented with a four-year history of a recurrent, discharging lesion on the right calcaneus. Magnetic Resonance Imaging (MRI) revealed the pathognomonic "dot-in-circle" sign. Intraoperative assessment revealed necrotic tissue containing characteristic black grains. Histopathological examination confirmed the presence of compact fungal grains composed of septate branching hyphae, establishing a diagnosis of eumycetoma. Conclusion: The patient was successfully treated with wide surgical debridement combined with adjuvant Itraconazole therapy. This case emphasizes the importance of histopathology and clinical grain characteristics in diagnosing fungal mycetoma in endemic regions.
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