The phone rang and with a heavy heart the Microbiologist answered.
“I have a patient who I think has a fungal infection” said the voice on the other end of the line.
“Here we go again” thought the Microbiologist.
“What kind of fungal infection?”
“I’m not really sure. He has a lump on his foot which has been getting worse since he came back from Africa a few months ago” said the voice.
The Microbiologist sat up straight. This was more like it, something weird and wonderful.
“Who am I speaking to? What was your patient doing in Africa? Did he hurt himself, cuts to his feet, anything like that?”
“Oh sorry, it’s the Dermatologist here, busy clinic and forgot my manners. The patient was volunteering, helping to build a school in a rural village, he was there for a long time and I suspect as he was wearing flip-flops a lot, he had many scratches and cuts to his feet during that time. I thought it might be another case of sporotrichosis, but there is no sporotrichoid spread and the lump is completely painless. There does look to be a sinus forming as well. What do you think?”
“It does sound like eumycetoma. Here’s what I think we should do…”