Eumycetoma due to Aspergillus niger: First case report and successful treatment with voriconazole

Yousuf Abd Mallick


Mycetoma is an uncommon, chronic granulomatous infection of skin and subcutaneous tissues with involvement of underlying fasciae and bones in majority of cases. Lower extremities are the most common site involved by mycetoma. The classical triad consists of formation of multiple draining sinuses, presence of discharging grains and tumefaction of affected tissues.1 Causative agents are divided into two groups; actinomycetes and fungi. When it is caused by a fungus it’s termed as eumycetoma, while the one caused by actinomycete is called as actinomycetoma. Eumycetoma by different Aspergillus species is not new but I am reporting a case of eumycetoma caused by Aspergillus niger, which is the first ever case-report to the best of my knowledge and search.



Acantholytic, ATPC2,’dilapidated brick wall appearance’

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