Madura foot
(mă-door'ă 
)
[from the Madur district in India where the disease was first described in 1842]
A local, painless maduromycosis (mycetoma) of an exposed area, esp. bare feet. It consists of swollen infected tissues with sinus tracts and a purulent, grainy discharge. Madura foot is usually found in adult males who work outside and have poor footwear or inadequate wound care.SYN: white-grain mycetoma.
SEE: maduromycosis.
Etiology: This mycetoma is caused by various fungi, e.g., actinomycetes. In the U.S., the most frequent cause is Pseudallescheria boydii.
Treatment: The antibiotic given depends on the specific organism involved. Clindamycin is used for actinomycetoma; ketoconazole or itraconazole has been used for eumycetomas. Surgery should not be necessary, but drug treatment often takes several months.