Mycetoma

BA YoungFountain Valley Regional Hospital, CA 92708, USA.

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MJ FeeFountain Valley Regional Hospital, CA 92708, USA.

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JA GiacopelliFountain Valley Regional Hospital, CA 92708, USA.

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DP GranoffFountain Valley Regional Hospital, CA 92708, USA.

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W KobayashiFountain Valley Regional Hospital, CA 92708, USA.

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Subcutaneous fungal infections are relatively uncommon in the lower extremity. Mycetoma begins as painless papules or nodules that increase in size and progresses to involve the connective tissue. Diagnosis is based on biopsy, with definitive identification of the organism needed for effective treatment. Treatment consists of antifungal medications and surgical debridement. This article provides an overview of this disorder and reports on a case of recurrent mycetoma in a 70-year-old woman.