Madura foot: A Case Report of a 55-year-old Filipino Male / [author]: Camille Patricia T. De Castro, Mari Karr A. Esguerra, Florido A. Atibagos Jr.,

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Publication details: Fairview, Quezon City; Department of Pathology, FEU-NRMF, 2024Description: ( in folder ) with flash drive (soft copy)Content type:

text

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unmediated

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volume

LOC classification:

PATH 2024 0003

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Summary: ABSTRACT OBJECTIVE: This study aims to review updates on laboratory tests used for diagnosing mycetomas along with recent developments in diagnosing and managing eumycetoma. CLINICAL FEATURES: We present a case report of 55-year-old male with a twenty-six-year history of recurrent left plantar mass with discharging black granules and pain on ambulation who is unresponsive to antibacterial and antifungal therapy. INTERVENTION AND OUTCOME: Surgical excision pf the mass combined with antifungal therapy using itraconazole 200 mg twice a day is given port surgery. Currently, the patient is undergoing regular follow-ups with re-evaluation after 6 months to re-assess the patient’s treatment regimen. Currently, the patient is ambulatory with minimal assistance using the cane. CONCLUSION: Identification of the microorganism remain to be the cornerstone of treatment. Eumycetoma is frequently neglected and diagnosed at an advanced stage. If left untreated, Involvement of underlying tissues such as the bones and muscles could lead to fatal consequence. Therefore, comprehensive clinical examination, using specialized stains, histological and microbiology investigation, and appropriate treatment is recommended to diagnosed mycetoma. Keywords: mycetoma, eumycetoma, Madura foot, Filipino, neglected tropical disease

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Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation	PATH 2024 0003 (Browse shelf(Opens below))	Available		R000786

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ABSTRACT
OBJECTIVE: This study aims to review updates on laboratory tests used for diagnosing mycetomas along with recent developments in diagnosing and managing eumycetoma.
CLINICAL FEATURES: We present a case report of 55-year-old male with a twenty-six-year history of recurrent left plantar mass with discharging black granules and pain on ambulation who is unresponsive to antibacterial and antifungal therapy.
INTERVENTION AND OUTCOME: Surgical excision pf the mass combined with antifungal therapy using itraconazole 200 mg twice a day is given port surgery. Currently, the patient is undergoing regular follow-ups with re-evaluation after 6 months to re-assess the patient’s treatment regimen. Currently, the patient is ambulatory with minimal assistance using the cane.
CONCLUSION: Identification of the microorganism remain to be the cornerstone of treatment. Eumycetoma is frequently neglected and diagnosed at an advanced stage. If left untreated, Involvement of underlying tissues such as the bones and muscles could lead to fatal consequence. Therefore, comprehensive clinical examination, using specialized stains, histological and microbiology investigation, and appropriate treatment is recommended to diagnosed mycetoma.
Keywords: mycetoma, eumycetoma, Madura foot, Filipino, neglected tropical disease

Research - Department of Pathology & Laboratory Diagnosis

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