{
  "abstract": "Mycetoma is an uncommon, chronic, granulomatous infectious condition that affects the skin, dermis and subcutaneous tissues. It is prevalent in tropical and subtropical areas. The patient presented to our hospital with a left foot lesion that he first noticed 2 years ago. The lesion consisted of multiple pits discharging black granules and pus. Culture revealed that the grains comprise a mass of fungal hyphae organised within a deeply eosinophilic amorphous matrix (Splendore-Hoeppli material). The patient received multidrug therapy, radical excision of mycetoma and a skin graft. He responded well to treatment. Because the diseases progress slowly, most patients are often diagnosed at a later stage. Therefore, focusing on health education and the significance of wearing footwear is essential.",
  "authors": [
    {
      "affiliations": [
        "Prince Mutaib Hosptial, Saudi Arabia Ministry of Health, Riyadh, Saudi Arabia"
      ],
      "name": "Mohammed Elamin Elsidig Mohammed Elsirag"
    },
    {
      "affiliations": [
        "Plastic Surgery, Pine Mutaib bin Abdulaziz Hospital, Sakaka, Aljouf, Saudi Arabia"
      ],
      "name": "Elbadawi Hassan Hbib Allaha"
    },
    {
      "affiliations": [
        "Plastic Surgery Department, Prince Mutaib bin Abdulaziz Hospital, Sakaka, Aljouf, Saudi Arabia"
      ],
      "name": "Muawya Sufyan Fakhruddin Sufyan Fakhruddin Elfaki"
    },
    {
      "affiliations": [
        "General Surgery, Prince Mutaib bin Abdulaziz hospital, Sakaka, Saudi Arabia"
      ],
      "name": "Almoez ldenalla Salah Alden Mahjub"
    },
    {
      "affiliations": [
        "General Surgery, Prince Mutaib bin Abdulaziz hospital, Sakaka, Saudi Arabia"
      ],
      "name": "Mahir Khiralla"
    },
    {
      "affiliations": [
        "General Surgery, Saudi Arabia Ministry of Health, sakaka, aljouf, Saudi Arabia"
      ],
      "name": "Azhari Ibrahim Dafaallah"
    },
    {
      "affiliations": [
        "Internal Medicine, Al-Jouf Health Cluster, Sakaka, Saudi Arabia"
      ],
      "name": "Elfatih Elsiddig Hagelamin"
    },
    {
      "affiliations": [
        "Aljouf Health Cluster, Sakaka, Al Jowf, Saudi Arabia"
      ],
      "name": "Nadir Nasraldeen"
    }
  ],
  "title": "Madura foot in a non-endemic setting: surgical management and reconstruction with skin graft",
  "uid": "bdceb34c-b98e-5b8e-8ca2-cfbbeec9cd14"
}