title: White grain mycetoma caused by a Cylindrocarpon sp. in India.
abstract: We describe a case of white grain eumycetoma of the foot of an Indian male caused by a slow-growing, poorly sporulating fungus that does not match any known agent of this infection. Histologic examination of a biopsy tissue specimen showed oval, lobular, white granules composed of hyaline, septate hyphae, and thick-walled chlamydospores. Culture of granules from a draining sinus yielded compact, very-slow-growing, poorly sporulating colonies producing a strong reddish brown pigment that diffused into the medium. The fungus was identified as a Cylindrocarpon sp. based on the development of rare cylindrical conidia borne from solitary phialides lacking collarettes, in addition to chlamydospores formed singly or in short chains.
authors.affiliation: Departments of Microbiology, Venereology, and Leprology, Jawaharlal Nehru Medical College, Belgaum, India.
authors.forename: B M
authors.initials: BM
authors.lastname: Hemashettar
authors.forename: B
authors.initials: B
authors.lastname: Siddaramappa
authors.forename: A A
authors.initials: AA
authors.lastname: Padhye
authors.forename: L
authors.initials: L
authors.lastname: Sigler
authors.forename: F W
authors.initials: FW
authors.lastname: Chandler
mesh_terms: D005533:Foot Dermatoses / Q000382:microbiology*; D006801:Humans; D006999:Hypocreales / Q000145:classification / Q000302:isolation & purification*; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000175:diagnosis* / Q000382:microbiology*