title: Primary mycetoma infection of the distal tibia secondary to an occult foreign body.
abstract: Mycetoma infections of the extremities usually present with characteristic cutaneous manifestations of a locally invasive chronic infection. Primary mycetoma infection of bone can occur by direct inoculation of the fungus to a bony prominence from a penetrating injury. The clinical presentation, the surgical management, and the use of oral antifungal agents differentiate primary mycetoma of bone from chronic mycetoma infections.
mesh_terms: D000328:Adult; D000842:Ankle / Q000000981:diagnostic imaging; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D008271:Mycetoma / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging