WHITE GRAIN EUMYCETOMA CAUSED BY Aspergillus nidulans, A RARE REPORT FROM DISTRICT OF MAHARASHTRA INDIA

Abstract

Myectomas are chronic subcutaneous infections caused by fungi and bacteria. When the etiology is fungal they are known as Eumycetomas. We describe a case of white grain eumycetoma by Aspergillus nidulans (A. nidulans) of the foot in a 60 yrs. old male patient agriculturist by occupation from Maharashtra, India. A. nidulans mycetoma shows more bleeding than usually seen and it is more painful than other fungal agents. South and North part of India are endemic for Mycetoma. Maharashtra is western part of India where Mycetoma is not endemic. In present case lesion was painful probably due to A. nidulans infection and /or by secondary bacterial infection by MRSA and M. morganii. Conclusion-High index clinical suspicion, accurate categorization of lesion into eumycotic or actinomycotic along with culture correlation, is vital for prognosis for positive clinical outcome.