Mycetoma

Subcutaneous Mycoses 3-Mycetoma Mycetoma, commonly known as 'Madura foot,' is achronie, localized, slowly progressing, granulomatous subcutaneous infection characterized by tumefaction (swelling), exudates containing grains composed of the etiological agent of the infection, draining to the skin surface via interconnected sinus tracts, and deformity. This infection occurs in the tropics and subtropics; mainly among males (3:1 male to female ratio) aged 20 to 50years old who are involved in field work in rural areas. Mycetoma is a pathological process in which the causative agents - a fungus (eumycetoma) or a bacterium (actinomycetoma) from an exogenous source produce grains. The disease is notoriously difficult to treat. Treatment consists of long courses of antifungals and antibacterials often combined with surgery. The triad of painless subcutaneous mass, multiple sinuses and sero-purulent discharge containing grains is path.