336 Diseases of Bone. 



6. 350. Mycetoma or Fungus Foot of India— Yellow 



Variety. — Foot of a Hindoo, aged 40, in section — mounted 

 in spirit, to illustrate the above. 



"1877, Jidy 7th. — Admitted into Hospital on the 21st June, 

 States that about fourteen years ago a small movable tumour appeared 

 over the joint of the right great toe. It gradually enlarged, and suddenly 

 one day he found a small opening on its upper surface, which, on being 

 squeezed, discharged blood and matter, and reddish grains like granules 

 of soda. Soon after, others of the same character appeared all over the 

 dorsal aspect of the sole of the foot. "When these button-like tubercles 

 were enlarging, pain was severe, and as soon as they burst and discharged 

 their contents he obtained relief, which was absent so long as the 

 tubercles were empty ; but as they began to enlarge, the pain also 

 appeared, and gradually increased in severity with the enlargement. 

 Never worked in black cotton soil, was never pricked with a thorn, and 

 has not suffered from guinea-worm." 



The foot, especially towards the front, has been enormously- 

 swollen, and the surface, especially of the dorsum, is studded 

 over with rounded tubercles of varying size. The interior of 

 the front of the foot has been converted into a large cavity 

 which contained a clear fluid, and in which the metatarsal 

 bones are lying macerated and loose, their substance being 

 rarefied and more or less absorbed. The soft parts are 

 tunnelled in various directions by channels leading from the 

 interior to the tubercles on the surface, and containing in many 

 places characteristic yellow granules. G. C. 2509. 



Presented by Surgeon Tyrrell, H.M. Madras Army. 



6. 351. Mycetoma or Fung-us Foot of India— Yellow 



Variety. — Foot of a Hindoo, aged 45, in section — mounted 

 in spirit, illustrating the above. 



*' 1877, ^pril 20th. — A professional beggar admitted yesterday for 

 the above, which is of ten years' duration. It appears that at the 

 befrinning he noticed a white patch on the sole of the foot, which was 

 caused by the pressure of the stilts which he used in his professional 

 capacity. After some years the patch presented a series of fissures, from 

 which a glutinous discharge exuded, and which adhered to his sandals. 



"After the application of the tlesh of squirrels as a poultice, the 

 fissures enlarged, and from them white sago-like grains were often dis- 

 charged. Slowly the border of the foot began to enlarge, and at the seat 

 of the enlargement the tubercles or button-like projections so character- 



