case_images: PMC3140148_01
case_images: Perineal lesions
case_images: IJSTD-31-39-g001.jpg
case_images: PMC3140148_01_IJSTD-31-39-g001.jpg
case_images: F0001
case_images: A 36-year-old man, farmer by occupation, presented with 8-year history of nonhealing lesions on the thigh and genitals [Figure 1].
case_images: Melanotic granules expressed out from the lesions
case_images: IJSTD-31-39-g002.jpg
case_images: PMC3140148_01_IJSTD-31-39-g002.jpg
case_images: F0002
case_images: On pressing, the dark melanotic granules were expressed out [Figure 2].
case_images: H and E histopathology with organized aggregates of filaments
case_images: IJSTD-31-39-g003.jpg
case_images: PMC3140148_01_IJSTD-31-39-g003.jpg
case_images: F0003
case_images: There were neutrophilic abcesses with organized aggregates of filaments [Figure 3] and 1% AFB revealed no acid fast filaments.
case_images: Madurella mycetomatis in Sabouraud's dextrose agar (two cultured specimens of patient) with leathery colony and brown pigment production compared with control
case_images: IJSTD-31-39-g004.jpg
case_images: PMC3140148_01_IJSTD-31-39-g004.jpg
case_images: F0004
case_images: On culture of the granules (washed with sterile saline and inoculated on to Sabouraud's dextrose agar) revealed the organism to be Madurella mycetomatis [Figure 4].