{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:41Z","timestamp":1756339541159,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2017,3,19]]},"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Mycetoma is a chronic infection of underlying fungal (eumycetoma) or bacterial (actinomycetoma) origin. It is characterised by a clinical triad of tumour-like swelling, actively draining sinuses and macroscopic grains of characteristic colours.<\/jats:p>\n               <jats:p>We the case of a 66-year-old woman on immunosuppressive therapy presenting with eumycetoma of the foot (Madura foot). The fungal organism cultured was <jats:italic>Acrophialophora fusispora<\/jats:italic>.<\/jats:p>\n               <jats:p>This case was managed with a combination of extensive surgical debridement, and packing with calcium sulfate (Stimulan) beads impregnated with vancomycin and voriconazole. As far as the authors are aware, this is a novel adjunct to the surgical treatment of deep fungal infection in the foot.<\/jats:p>\n               <jats:p>Eumycetoma treated with surgery and oral antifungal therapy leads to cure rates of 25%\u201335%. This novel treatment seems to bear further investigation for the potential to improve cure rates. At 8 months follow-up, our patient appears to be making good progress with no current signs of recurrence.<\/jats:p>","DOI":"10.1136\/bcr-2016-218559","type":"journal-article","created":{"date-parts":[[2023,7,28]],"date-time":"2023-07-28T04:40:10Z","timestamp":1690519210000},"page":"e218559","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["A surgeon\u2019s trial success of curing pedal eumycetoma"],"prefix":"10.1136","volume":"16","author":[{"given":"Baseem","family":"Choudhry","sequence":"first","affiliation":[{"name":"Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Mitchell","sequence":"additional","affiliation":[{"name":"King's Mill Hospital, Sutton-in-Ashfield, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Milner","sequence":"additional","affiliation":[{"name":"Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,7,28]]},"reference":[{"key":"2025082709152389000_16.7.e218559.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(04)01131-4"},{"key":"2025082709152389000_16.7.e218559.2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002550"},{"key":"2025082709152389000_16.7.e218559.3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002918"},{"key":"2025082709152389000_16.7.e218559.4","first-page":"31","article-title":"Ahmed fahal Mycetoma: epidemiology, treatment challenges, and progress","volume":"6","author":"Wendy van de Sande","year":"2015","journal-title":"Res Rep Trop Med"},{"key":"2025082709152389000_16.7.e218559.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2015\/129020","article-title":"Eumycetoma osteomyelitis of the calcaneus in a child: a radiologic\u2013pathologic correlation following total calcanectomy","volume":"2015","author":"El-Sobky","year":"2015","journal-title":"Case Rep Pathol"},{"key":"2025082709152389000_16.7.e218559.6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0004244"},{"key":"2025082709152389000_16.7.e218559.7","doi-asserted-by":"crossref","first-page":"e0004690","DOI":"10.1371\/journal.pntd.0004690","article-title":"The surgical treatment of mycetoma","volume":"10","author":"Suleiman","year":"2016","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082709152389000_16.7.e218559.8","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.00279-15"},{"key":"2025082709152389000_16.7.e218559.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2013.03.016"},{"key":"2025082709152389000_16.7.e218559.10","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.36.3.850-851.1998"},{"key":"2025082709152389000_16.7.e218559.11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B2.24933"},{"key":"2025082709152389000_16.7.e218559.12","unstructured":"Stimulan Brochure2015: BiocompositesLtd. 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London, UK: Brunei Gallery, School of Oriental and African Studies."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218559","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:15:32Z","timestamp":1756311332000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218559"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2023,7,28]]},"published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1136\/bcr-2016-218559"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218559","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}