Abstract

Mycetoma is a chronic granulomatous infection present worldwide, and endemic in tropical and subtropical regions. The infection is caused by the traumatic inoculation of a fungus (eumycetoma) or a bacterium (actinomycetoma). Although several cases have been reported in Iran, this case was the first report in Sistan and Baluchestan Province southeastern area in Iran. In this report, a 41-year-old man with a history of trauma in his foot followed by diving in a pond around Zahedan, Iran has been presented. Nodular sinus lesions containing pus and granular grains were observed. Actinomycetoma was confirmed by direct examination, culture and biochemical tests. All tests showed the causative agent of mycetoma as Actinomadura Madura.