Table 1.
The demographic characteristics of the studied population.
Fig 1.
Showing massive foot eumycetoma with multiple sinuses and discharge with black grains.
Fig 2.
Showing massive hand and forearm eumycetoma with massive deformity.
Fig 3.
Showing massive back and gluteal eumycetoma.
Fig 4.
Showing massive anterior abdominal wall, perineal, vulval and upper thigh actinomycetoma
Table 2.
The mycetoma sites among the studied population.
Table 3.
The clinical findings among the study population.
Fig 5.
Showing knee region X-ray with type finding of eumycetoma; soft tissue mass, periosteal reaction of the lower part of the femur, patella and upper tibia and multiple bone cavities in the upper part of the tibia.
Fig 6.
Microphotograph showing many Actinomadura pelletieri grains surrounded by multi-inflammatory cells.
H&E X 200.
Fig 7.
Showing the ultrasound appearance of eumycetoma lesion with numerous grains producing numerous and sharp hyper-reflective echoes.
There are multiple thick-walled cavities with no acoustic enhancement.
Fig 8.
Showing hand MRI with an extensive eumycetoma lesion infiltrating and obliterating the subcutaneous tissue planes.
There are multiple low signal intensity fungal grains, bone marrow oedema, and a dot-in-circle sign.
Fig 9.
Showing a thorn with vesicular structures and a black pigment of M. mycetomatis removed surgically from one patient (H&EX200).