Ali Sabateen, Maya Koerm, Bayan Assem
Mycetoma or (Madura foot) is defined as a chronic progressive subcutaneous infection that results in a granulomatous inflammatory response in the deep dermis and subcutaneous tissue, which can extend to the underlying bone. This infection caused by either actinomycetes (actinomycetes) or fungi (eumycetomas), and is characterized by multiple sinuses discharging colored grains at the site of infection. It commonly affects young adults in rural areas, especially in tropical areas. Also, it can be found but rarely in people who live in cities with agricultural work or farming as the soil is considered a natural reservoir for most of the causing pathogens. In general, infection usually follows a traumatic inoculation of the pathogen into subcutaneous tissue via contaminated materials or in those who become inoculated with the agent after they traveled to tropical or endemic areas. Mycetoma is rarely found in Levant area, so we report here the first case of eumycetoma that was discovered and treated in Palestine.
