Kumar MJ, Gowda N: Maduramycosis of foot: a case report of Boyd's amputation as a salvage procedure in late presentation. Foot Ankle Online J 4: 2, 2011.
Jones JW, Alden HS: Maduromycotic mycetoma (Madura foot): report of a case occurring in an American Negro. JAMA 96: 256, 1931.
Welsh O, Al-Abdely HM, Salinas-Carmona MC, et al: Mycetoma medical therapy. PLoS Negl Trop Dis 8: e3218, 2014.
Lopez-Martinez R, Mendez-Tovar LJ, Bonifaz A, et al: Update on the epidemiology of mycetoma in Mexico. A review of 3933 cases. Gac Med Mex 149: 586, 2013.
Bonifaz A, Tirado-Sánchez A, Calderón L, et al: Mycetoma: experience of 482 cases in a single center in Mexico. PLoS Negl Trop Dis 8: e3102, 2014.
Gomez-Flores A, Welsh O, Said-Fernandez S, et al: In vitro and in vivo activities of antimicrobials against Nocardia brasiliensis. Antimicrob Agents Chemother 48: 832, 2004.
Vera-Cabrera L, Campos-Rivera MP, Escalante-Fuentes WG, et al: In vitro activity of ACH-702, a new isothiazoloquinolone, against Nocardia brasiliensis compared with econazole and the carbapenems imipenem and meropenem alone or in combination with clavulanic acid. Antimicrob Agents Chemother 54: 2191, 2010.
De Sarro A, La Camera E, Fera MT: New and investigational triazole agents for the treatment of invasive fungal infections. J Chemother 20: 661, 2008.
US Food and Drug Administration: Postmarket drug safety information for patients and providers. Available at: http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm371019.htm. Accessed November 15, 2016.
N'Diaye B, Dieng MT, Perez A, et al: Clinical efficacy and safety of oral terbinafine in fungal mycetoma. Int J Dermatol 45: 154, 2006.
Hay RJ, Mackenzie DWR: Mycetoma (madura foot) in the United Kingdom—a survey of forty-four cases. Clin Exp Dermatol 8: 553, 1983.
White EA, Patel DB, Forrester DM, et al: Madura foot: two case reports, review of the literature, and new developments with clinical correlation. Skeletal Radiol 43: 547, 2014.
Mycetoma cases are predominantly found in tropical regions and are a rare finding in the United States. These masses that are fungal or bacterial in origin can result in significant destruction of soft tissue and bone. We present a case of a patient who emigrated from Mexico to Indianapolis. He presented with a soft-tissue mass that was excised and ultimately found to be a eumycetoma of the hallux of his left foot. Successful treatment included surgical resection in combination with postoperative terbinafine, which was pulse dosed to decrease its impact on hepatic function.