Forgotten Infection Friday- Madura Foot: The Silent, Years-Long Infection Hiding in Plain Sight

This episode reviews Madura foot (mycetoma), a chronic implantation infection characterized by long-standing swelling, multiple sinus tracts, and visible ‘‘grains.’p> There are two main types — eumycetoma (fungal) and actinomycetoma (bacterial) — with different treatments (antifungals ± surgery vs prolonged antibiotics). Diagnosis relies on deep tissue sampling, culture, histology and imaging to define extent. Early recognition, protective footwear, and daily foot checks are key to limb preservation, especially in patients with diabetes and neuropathy.