Mycetoma of Hand-An unusual presentation

Abstract

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 2 metacarpal. He was treated with antifungal and amputation of 2 finger and is doing fine for last 3 months.