The mystical foot with pink mushrooms : imaging of maduromycosis - a rarity in southern Africa

Abstract

Maduromycoses (Madura foot) are chronic granulomatous subcutaneous infections endemic to certain regions, but not southern Africa. e infection is caused by both pure fungi and bacteria. Imaging plays an important role in assessing the severity of disease and the direction of its spread, assisting in treatment planning and in the monitoring of treatment response. e typical ‘dot-in-circle’ sign on magnetic resonance imaging is diagnostic of Madura foot. We present the case of an adolescent South African boy who presented with fungoid growths on his foot, typical of this disease.