Painful Lytic Lesions of the Foot : A Case Report

• Main Authors: R Vaishya, V Vijay, P Ghogare, A Vaish
• Format: Article
• Language: English
• Published: Malaysian Orthopaedic Association 2015-03-01
• Series: Malaysian Orthopaedic Journal
• Subjects: Lytic Lesions; Foot; Mycetoma; Histopathology; Infection
• Online Access: http://www.morthoj.org/2015/v9n1/painful-lytic-lesions.pdf

The presence of lytic lesions in the bones of foot raises a number of diagnostic possibilities ranging from infection, inflammatory pathology to neoplastic conditions. Although the radiological picture is not pathognomonic of any pathology, clinical history and histopathological examination can help to clinch the diagnosis. We present a case of multiple lytic lesions of the foot and discuss possible differential diagnoses. The patient was diagnosed as a case of madura foot and the lesions responded to surgical debridement and anti-fungal treatment with a good functional outcome. Madura foot is an uncommon, chronic granulomatous fungal or bacterial infection with a predilection in people who walk barefoot. Although known for a specific geographical distribution, madura foot should be kept as a possible diagnosis in patients presenting with lytic lesions of the foot due to population emigration across the world.