Exophiala jeanselmei is clinically redefined as a rare agent of subcutaneous lesions of traumatic origin eventually causing mycetoma. A case of eumycetoma of foot in a 42-year-old male was clinically diagnosed as dermoid cyst and was microbiologically confirmed as eumycetoma. This case is reported for its uncommon clinical presentation and etiological agent, Exophiala jeanselmei. The patient recovered completely after treatment with Ketoconazole.
Hay RJ. Agents of eumycotic mycetomas. In: Topley and Wilsons Microbiology and Microbial Infections. Medical Mycology. 10th ed. Baltimore: Hodder Arnold; 2007. p. 385-95.
Mahgoub ES. Agents of Mycetoma. In: Mandell Douglas and Bennets Principles and Practice of infectious diseases. 4th ed., Vol. 2, Chap. 242. New York: Churchill Livingstone; 1995. p. 2327-30.
Chander J. A textbook of Medical Mycology. 3 rd ed. Chap. 11. New Delhi: Mehta Publishers; 2009. p. 158.
Hemashettar BM, Patil CS, Nagalotimath SJ, Thammayya A. Mycetoma due to Exophiala jeanselmei (a case report with description of the fungus). Indian J Pathol Microbiol 1986;29:75-8.
Maiti PK, Ray AA, Bandopadhyay S. Epidemiological aspects of mycetoma from a retrospective study of 264 cases in West Bengal. Trop Med Int Health 2002;7:788-92.
Sartoris KE, Baillie GM, Tiernan R, Rajagopalan PR. Phaeohyphomycosis from Exophiala jeanselmei with concomitant Nocardia asteroids infection in a renal transplant recipient: Case report and review of the literature. Pharmacotherapy 1999;19:995-1001.
Chakrabarti A, Singh K. Mycetoma in Chandigarh and surrounding areas. Indian J Med Microbiol 1998;16:64-5.
Desnos-Ollivier M, Bretagne S, Dromer F, Lortholary O, Dannaoui E. Molecular identification of black grain mycetoma agents. J Clin Microbiol 2006;44:3517-23.
Fahal AH, el Toum EA, el Hassan AM, Mahgaub ES, Gumaa SA. The host tissue reaction to Madurella mycetomatis: New classification. J Med Vet Mycol 1995;33:15-7.