title: Eumycetoma due to Madurella mycetomatis acquired in Jamaica.
abstract: We report a case of eumycetoma due to Madurella mycetomatis affecting the left dorsal forefoot in a 35-year-old woman. She had spent her childhood in Jamaica, and had been resident in the U.K. for 20 years prior to her presentation. She gave a highly suggestive history for a mycetoma, having observed the intermittent discharge of black grains from the lesion. The diagnosis was confirmed by histological and mycological analysis of the grains, and a magnetic resonance imaging scan excluded osteomyelitis. She has responded very favourably to treatment with itraconazole. Mycetomas due to M. mycetomatis have not previously been reported from Jamaica.
authors.affiliation: St John's Institute of Dermatology, London, UK. clfletcher@doctors.org.uk
authors.forename: C L
authors.initials: CL
authors.lastname: Fletcher
authors.forename: M K
authors.initials: MK
authors.lastname: Moore
authors.forename: R J
authors.initials: RJ
authors.lastname: Hay
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D005533:Foot Dermatoses / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D007563:Jamaica; D020461:Madurella; D008271:Mycetoma / Q000175:diagnosis*; D014195:Travel