MedicineDermatologySurgeryAmputation RehabilitationFoot PathologyFoot SurgeryAmputationAmputation CareFoot DisordersFoot UlcerationLower-limb AmputationUpper Extremity AmputationUpper-limb Amputation
The report of a case of mycetoma by Dr. Pagenstecher<sup>1</sup>of San Antonio, Texas, leads me to report this case. In Mexico, mycetoma, or "Madura foot," is quite common. One rarely sees these cases, however, until the absorption from the diseased, suppurating, repulsive foot has so thoroughly undermined the patient's general health that there is little choice left for the surgeon but to amputate. It has fallen to my lot to do this on five occasions, the patients ranging from 24 to 70 years of age. A point of interest in these cases in this country is the prevailing notion that the affected person has been bewitched. A woman who wants a man who is living with some other woman, but cannot get him, takes out her spite in this way: She takes a piece of his clothing to some old woman, who puts it, together with a piece of