title: Mycetoma of the Foot Caused by Madurella Mycetomatis in Immigrants from Sudan.
abstract: BACKGROUND
  Mycetoma is a chronic and destructive infection caused by either fungus or bacteria. Mycetoma has a characteristic clinical presentation of a triad of tumor-like swelling, draining sinuses, and macroscopic grains. Mycetoma infection is extremely rare in Israel; however, in view of the recent immigration from mycetoma-hyperendemic regions of Africa to Israel, physicians in Israel may encounter this infection.
  
  
  OBJECTIVE
  To present two cases of mycetoma caused by Madurella mycatomatis in immigrants from endemic regions in Sudan treated at our hospital, and review the current literature.
  
  
  CONCLUSIONS
  Health care professionals in Israel should suspect mycetoma in patients from endemic countries who present with tumor-like swelling especially in the lower extremity. Health care workers should be able to recognize mycetoma and provide the optimal treatment before the lesion progresses to an advanced and disabling disease.
authors.forename: Tamar
authors.initials: T
authors.lastname: Brufman
authors.forename: Ronen
authors.initials: R
authors.lastname: Ben-Ami
authors.forename: Michal
authors.initials: M
authors.lastname: Mizrahi
authors.forename: Edna
authors.initials: E
authors.lastname: Bash
authors.forename: Yael
authors.initials: Y
authors.lastname: Paran
mesh_terms: D000328:Adult; D054242:Emigrants and Immigrants; D005534:Foot Diseases / Q000382:microbiology / Q000473:pathology*; D006801:Humans; D007557:Israel; D020461:Madurella / Q000302:isolation & purification*; D008297:Male; D008271:Mycetoma / Q000382:microbiology / Q000473:pathology*; D013397:Sudan / Q000208:ethnology; D055815:Young Adult