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Mycetoma is a chronic granulomatous infection of skin and subcutaneous tissues. It is a neglected disease
worldwide with severe physical and psychological consequences as many cases end up with amputation.
Proper diagnosis with tissue culture is the cornerstone in management of these cases. Mycetoma can occur
anywhere on body but feet are the most commonly reported affected part. Walking bare foot is the main
predisposing factor. Delay in diagnosis, lack of expertise and diagnostic facilities in remote areas, poor
patient compliance, and resistant nature of almost all the causative organisms contribute towards the
difficulty index in the management of mycetoma cases. Mycetoma is caused by either fungi or actinomycetes with a very similar clinical presentation. Mixed infection with both is a rarity. This is a case report of
mixed mycetoma caused by actinomycetes and fungi both, and author’s experience is shared to manage
this difficult and unusual case.
Yousuf Abd Mallick. (2020) An Unusual Case of Mixed Mycetoma by Actinomycete and Aspergillus Species, The Pakistan Journal of Medicine and Dentistry, Volume 9, Issue-1.
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