Madura Foot that Presented like Soft Tissue Sarcoma

79 years old female agricultural worker in a farm gardening and taking care of farm animals from Al- Baha western region in Saudi Arabia presented with a 7-year history of left plantar foot soft tissue mass. According to the patient, the swelling had gradually increased in size over a few years, but it was painless and thus had not restricted him from continuing to farm until the lesion started to affect mobility. An X-ray, MRI, and histopathology reported a rare infectious agent Antinomies spp, otherwise referred to as Madura foot. Three-dimensional CT aided in a preoperative surgical plan which included mass excision/ debunking for this challenging lesion. Patient required prolonged anti-infective therapy (> 4 months) after follow the patient improved and not has any pain or recurrence of lesion or infection.