Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    Dot-in-Circle Sign - A Diagnostic MRI Sign for "Madura Foot".

    J Coll Physicians Surg Pak 2017 Mar;27(3):S8-S10
    Department of Radiology, Shifa International Hospital, Islamabad.
    Mycetoma is a slowly progressive localised, granulomatous, subcutaneous tissue infection common among adult males aged 20 - 50 years. The causing agents include both bacteria (actinomycetoma) and fungi (eumycetoma). This chronic infection was described in literature as Madura foot and eventually mycetoma, due to its etiology. Early clinical diagnosis before the appearance of sinuses and grains (aggregates of organism surrounded by granulation tissue, which are discharged from the draining sinuses) is difficult. Early diagnosis is important due to the therapeutic implications. Although biopsy and microbiological cultures provide definitive diagnosis. Delay in diagnosis may lead to amputation of the affected part. The recently described "dot-in-circle" sign on magnetic resonance imaging (MRI) is easy to recognise and highly specific. We present a case of histologically proven mycetoma with characteristic MRI features.
    PDF Download - Full Text Link
    ( Please be advised that this article is hosted on an external website not affiliated with PubFacts.com)
    Source Status
    http://dx.doi.org/236DOI ListingPossible

    Similar Publications

    The "dot in circle" sign on MRI in maduramycosis: a characteristic finding.
    J Clin Imaging Sci 2012 31;2:66. Epub 2012 Oct 31.
    Department of Radiodiagnosis, M.P.Shah Medical College and G.G. Hospital, Jamnagar, Gujarat, India.
    Mycetoma or Maduramycosis is a localized chronic suppurative infection characterized by exuberant granulation tissue, discharging sinuses, and bone involvement later in the course of the disease. Early clinical diagnosis before the appearance of sinuses and grains (aggregates of organism surrounded by granulation tissue, which are discharged from the draining sinuses) is difficult. Delay in diagnosis may lead to amputation of the affected part. Read More
    The dot-in-circle sign of mycetoma on MRI.
    Diagn Interv Radiol 2007 Dec;13(4):193-5
    Department of Radiology, All India Institute of Medical Sciences, New Delhi, India.
    Mycetoma is a chronic granulomatous disease prevalent in tropical countries, but it also occurs in Europe and the United States. Early diagnosis is important as it has therapeutic implications. Although biopsy and microbiological culture provide the definitive diagnosis, these are difficult to achieve in many instances. Read More
    Case report: Dot-in-circle sign - An MRI and USG sign for "Madura foot".
    Indian J Radiol Imaging 2011 Oct;21(4):264-6
    Department of Radiodiagnosis, Devi Scans, Medical College, Thiruvananthapuram, India.
    Mycetoma is a chronic granulomatous disease that is more common in tropical than in temperate regions. Early diagnosis is important due to the therapeutic implications. Although biopsy and microbiological culture provide definitive diagnosis, they are time-consuming procedures and may not be able to provide a definite diagnosis in cases of fastidious organisms. Read More
    The dot-in-circle sign in Madura foot.
    J Foot Ankle Surg 2009 Nov-Dec;48(6):690.e1-5. Epub 2009 Sep 10.
    Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, UK.
    Unlabelled: The literature states that proper management of Madura foot strongly depends on accurate identification of the causative organism. We describe the case of a patient with Madura foot who was diagnosed with eumycetoma after the dot-in-circle sign, which has been previously reported in regard to magnetic resonance images of this lesion, was observed on both ultrasound and magnetic resonance images.

    Level Of Clinical Evidence: 4. Read More