DOI: 10.36347/sjams.2015.v03i03.008

Pages: 1081-1082

Mycetoma is a chronic suppurative granulomatous disorder of the subcutaneous tissues and the bones. It is characterized by localized swellings with multiple sinus tracts discharging granules that are microcolonies of the causative agent. A 32-year-old, female patient presented with a nodular lesion on right hand of 8 months duration. Histopathological examination showed fibrocollagenous tissue infiltrated by mixed inflammatory infiltrate with superimposed giant cell reaction. There were colonies of fungus that on close examination showed septae, branching hyphae along with spores. They were PAS positive and gram stain negative. A diagnosis of eumycetoma of the hand was put forth.