In Dutch Guiana mycetoma pedis is a rare disease. Until the present, no case has been reported.
REPORT OF A CASE
History.—
A British Indian woman, a laborer, aged 41, born in Surinam, came under my care in November, 1928. She had a tumor-like, suppurating swelling of the left foot, which had been present for about two years. The process started with a painless nodule which appeared on the dorsum of the diseased foot. It showed little progress during the first year. Gradually more nodules manifested themselves, and superficial ulceration of parts of the nodular mass took place. I could not obtain a reliable history about previous trauma, or the further course of the disease. Because of pain in walking, the patient sought medical treatment and was admitted to the Military Hospital at Paramaribo. There was no history or evidence of syphilis or yaws.
Examination.—
The patient appeared to be