A 29-year-old Thai woman had draining sinus tracts, tumefaction, and g
ranules on the plantar aspect of the foot. Phialophora verrucosa was i
solated from the lesion. P. verrucosa is a major agent of chromoblasto
mycosis, which is known to rarely cause subcutaneous phaeohyphomycosis
. This dematiaceous fungus has not been previously reported to cause m
ycetoma. This case illustrates the clinical spectrum of disease of thi
s fungus. The salient features of mycetoma and management options are
presented.