[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
October 2010

Madura Foot Caused by Actinomadura madurae in a Pregnant Woman

Author Affiliations

Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Dermatol. 2010;146(10):1189-1190. doi:10.1001/archdermatol.2010.296

A 22-year-old woman developed soft tender nodules on the right medial ankle and plantar foot at the beginning of pregnancy (Figure 1). She immigrated to Washington state from Mexico 18 months prior to the onset of symptoms. Analysis of biopsy specimens revealed small white-yellow grains extruded from the biopsy site. Mixed inflammation diffusely involved the dermis with deep dermal collections of filamentous basophilic rods (Figure 2). Magnetic resonance imaging demonstrated mycetoma and infectious myositis without evidence of osteomyelitis.