An Unusual Presentation of Eumycetoma

Eumycetoma is a chronic fungal infection of skin and subcutaneous tissue characterised by tumefaction, sinus tracts and grain extrusion. We report a case of 40 year old male who presented with single subcutaneous lesion on left foot with normal overlying skin. We performed excision and histopathological examination. Presence of fungal hyphae on histopathological examination confirmed the diagnosis of eumycetoma. We started antifungal therapy with “Ketoconazole” for six weeks. Patient was asymptomatic and there was no recurrence at two year follow up. Such atypical presentation of eumycetoma mandates high index of clinical suspicion and need for histological diagnosis in a patient presenting from tropical region.