Subcutaneous fungal infections are relatively uncommon in the lower extremi
ty. Mycetoma begins as painless papules or nodules that increase in size an
d progresses to involve the connective tissue. Diagnosis is based on biopsy
, with definitive identification of the organism needed for effective treat
ment. Treatment consists of antifungal medications and surgical debridement
. This article provides an overview of this disorder and reports on a case
of recurrent mycetoma in a 70-year-old woman.