Mycetoma is a chronic granulomatous disease, which is endemic in tropical countries. It is caused by Actinomycetes or fungi. This infection results in chronic granulomatous inflammatory response in the deep dermis and subcutaneous tissue, which can extend to the underlying bone. We report a case of 36 yr old male who presented to us with complaints of low back ache and weakness of both lower limbs. On further evaluation, MRI showed thoracic epidural mass. The mass was excised and histopathology showed Eumycetoma.

Keywords: Paraplegia, Epidural mass, Eumycetoma.

1. Iffat H, Abid K. Mycetoma Revisited. N Dermatol Online, 2011; 2(3): 147-150.
2. Magana M. Mycetoma. Int J Dermatol., 1984; 23(4): 221-236.
3. Negroni R, Lopez Daneri G, Arechavala A, Bianchi MH, Robles AM; Clinical and microbiological study of mycetomas at the Muniz Hospital of Buenos Aires between 1989 and 2004. Rev Argent Microbiol., 2006; 38(1): 13-18.
4. Barnetson R, Milne LT. Mycetoma (review). Br J Dermatol 1978; 99:227-30.
5. Mohammad N, Arif C, Ruksana P, Rokon U, Abdur R, Moydul H; The Madura foot - A Case Report. N Dermatol Online, 2011; 2(2): 70-73. 
6. Taraklakshmi VV, Pankoyalakshmi VV, Arumugani S, Subramanian S; Mycetoma caused by Madurellamycetomii in Madras. Aust J Dermatol., 1978; 19(3): 125-129.
7. Ahmed Hassan Fahal; Mycetoma. Khartoum Medical Journal, 2011; 4(1): 514 – 523  
8. Pilsczek FH, Augenbraun M; Mycetoma fungal infection: Multiple organisms as colonizers or pathogens. Rev Soc Bras Med Trop., 2004; 40(4): 463-465
9. Fahal AH. Mycetoma: A thorn in the flesh. Trans R Soc Trop Med Hyg., 2004; 98(1): 3- 11.

Dr Ponnaganti Vasundhara

Final year Post Graduate, Department of General Medicine, NRI General Hospital, Chinakakani, Guntur