Advanced Eumycetoma of the Right Foot Resulting in Below-Knee Amputation in Somalia: A Case Report.
Mohamed Adam Mahamud, Mohamed Mustaf Ahmed, Shafie Abdulkadir Hassan et al.
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Case in brief
A 33-year-old man from Somalia presented with a seven-year history of progressive swelling in the right foot, characterized by massive tumefaction and multiple discharging sinuses containing black grains. MRI revealed extensive soft-tissue destruction and osteomyelitis. Due to the severity of the condition, a below-knee amputation was performed, followed by a planned twelve-month course of oral itraconazole. The stump healed well with no signs of recurrence at three months.
Diagnostic / clinical pearl
Magnetic resonance imaging is crucial in assessing the extent of eumycetoma, guiding management decisions, and determining the feasibility of limb-sparing surgery.
Why it matters
Improving access to early imaging and mycological diagnosis in regions affected by mycetoma could prevent severe outcomes, such as limb amputation.