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June 1947

MADURA FOOT (MYCETOMA): First Report from the Isthmus of Panama

Author Affiliations


From the medical staff of the Hospital Santo Tomas.

Arch Derm Syphilol. 1947;55(6):761-771. doi:10.1001/archderm.1947.01520060023003

SOME TIME ago it was interesting to note the lack of bibliographic data on actinomycosis on the Isthmus of Panama, whereas there were various reports from Puerto Rico,1 Cuba2 the southern part of the United States3 and Mexico,4 which, like the isthmus, bound the Caribbean Sea. Also the geographic location of the isthmus, with its warm, humid climate, would appear to make it a favorable region for any type of mycotic infection. The later diagnosis in the first 2 cases of chromoblastomycosis,5 when I commenced my investigations, and in the third and fourth cases (as yet unreported), observed in the last fifteen months, leads me to believe that actinomycosis can be encountered on the isthmus in any of its clinical forms, in particular, Madura foot (mycetoma), or that it has been recognized but has not been reported in the past.

My study has confirmed my previously

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