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December 31, 1949


JAMA. 1949;141(18):1300. doi:10.1001/jama.1949.02910180028007

Maduromycosis, or madura foot, is a fungus disease which was first described by Van Dyke Carter as an endemic infection in and around Madura in India. The disease has since been recognized in other districts of India and in Ceylon, Cochin China, the Netherland East Indies, Africa, Argentina, Cuba, Mexico, the United States and Canada. It occurs most often in arid tropical and subtropical climates among men who do agricultural work with bare feet. Unlike actinomycosis, which is most frequently found in cattle and swine, maduromycosis is apparently confined to man. The disease is rare in women. Infection commonly follows pricking with thorns. While the infection in actinomycosis is transmissible from one part of the body to other parts, maduromycosis remains localized in the area originally involved. The disease most often affects the foot. Occasionally it occurs in the region of the buttocks, the thigh, the knee and the ankle

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