Mycetoma of Hand-an unusual presentation

Mycetoma, also known as 'Maduromycosis', after the name of place Madurai in south India, is a chronic, specific, granulomatous, progressive inflammatory disease, mainly affecting the foot. The affection of hand is uncommon. We present here a case of middle age man who presented with swelling and discharging sinuses in right hand form where there was discharge of black colored grains. Radiograph showed extension in bone and soft tissue with lytic lesion in 2nd metacarpal. He was treated with antifungal and amputation of 2nd finger and is doing fine for last 3 months. Keywords: Myecetoma | Maduromycosis | Hand | Finger
Introduction Mycetoma is chronic subcutaneous infections characterized by a clinical triad of chronic indurations, draining sinuses and discharge of granules (1). The granules are microcolonies of causative agent. It was [...]