Mahnoor Hafeez, amjad sattar


Mycetoma is a rare chronic cutaneous and subcutaneous infection caused by various genera of fungi. Approximately 40% of mycetomas worldwide are eumycotic as opposed to actinomycotic (ie, caused by bacterial actinomycetes). The disease is marked by progressive destruction of soft tissue and nearby anatomic structures. In this paper, the characteristic features of mycetoma of the foot on Magnetic Resonance Imaging in three of Dow University Hospital patients are presented.

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Chhem RK, Wang S, Jaovisidha S, Smit P, Friedman L, Bureau NJ, Cardinal E. (2001) Imaging of fungal, viral, and parasitic musculoskeletal and spinal diseases. Radiol Clin North Am Mar; 39(2):357-78

Ispoglou SS, Zormpala A, Zormpala A, Sipsas NV (2003) Madura foot due to Actinomadura madurae: imaging appearance. Journal Clin Imaging 27 (233-235)

Sankar Neelakantan, Arul Arokia Sensan Babu, Rakesh Anandarajan. ‘Dot in circle sign’: a characteristic finding in ultrasound and MR imaging of soft tissue mycetomas. BMJ Case Rep. 2016; 2016: bcr2016216502.

Turiansky George. Eumycetoma (Fungal Mycetoma) Clinical Presentation: History, Physical Examination. (2018, May 30). Retrieved from

Abd El Bagi ME. New Radiographic Classification of Bone Involvement in Pedal Mycetoma. AJR Am Roentgenol 2003 Mar;180(3):665-8

Cherian RS, Betty M, Manipadam MT, Cherian VM, Poonnoose PM, Oommen AT, Cherian RA. The "dot-in-circle" sign -- a characteristic MRI finding in mycetoma foot: a report of three cases. Br J Radiol. 2009 Aug;82(980):662-5.

V. P. K. Gopinath, Rishad Ali C. M., P. M Farisa. The missing grains in Madura foot: imaging to the rescue international journal of research in dermatology. Vol 4, No 4 (2018)

Laohawiriyakamol Teeranan, Tanutit Pramot, Kanjanapradit Kanet, Hongsakul Keerati, Ehara Shigeru. The “dot-in-circle” sign in musculoskeletal mycetoma on magnetic resonance imaging and ultrasonography. Springerplus. 2014; 3: 671. Nov 13.

Sarris I, Berendt AR, Athanasous N, Ostlere SJ. MRI of mycetoma of the foot: two cases demonstrating the dot-in-circle sign. Skeletal Radiol. 2003 Mar;32(3):179-83. Epub 2003 Jan 28.

Sen Anitha, Subramonia Rajesh. Case report: Dot-in-circle sign - An MRI and USG sign for “Madura foot”. Indian J Radiol Imaging. 2011 Oct-Dec; 21(4): 264–266.

Javed F, Nazir R, Sharma M1, Yasir S, Babar S. Dot-in-Circle Sign - A Diagnostic MRI Sign for "Madura Foot". J Coll Physicians Surg Pak. 2017 Mar;27(3):S8-S10. doi: 236.


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