Recurrent Madura Foot: Case Report

Mycetoma, a chronic infection of cutaneous and subcutaneous tissues, manifests as a polyfistulized pseudotumoral mass with granular discharge, mainly on the foot (“Madura foot”). Caused by fungi (eumycetoma) or actinomycetous bacteria (actinomycetoma), it mainly affects young rural men in tropical regions. The authors present a clinical case illustrating the management of a recurrence in a Moroccan farmer, treated by surgical excision combined with antifungal therapy. A multidisciplinary approach (surgery, antifungal treatment, and rigorous follow-up) is crucial to preventing complications (osteomyelitis, amputations) and improving prognosis.