A 35-year-old woman from Sudan presents with a chronic non-healing foot lesion with multiple draining sinuses discharging black grains. What does the ...

Question

A 35-year-old woman from Sudan presents with a chronic non-healing foot lesion with multiple draining sinuses discharging black grains. What does the colour of the grains suggest about the aetiology?

Accepted Answer

Black grains indicate eumycetoma (fungal), most commonly Madurella mycetomatis

Answer

Black grains indicate actinomycetoma (bacterial)

Answer

Black grains indicate melanoma

Answer

Grain colour has no diagnostic significance

Answer

Black grains indicate Nocardia infection

uk-dtmh MCQ (SBA): Eumycetoma

A 35-year-old woman from Sudan presents with a chronic non-healing foot lesion with multiple draining sinuses discharging black grains. What does the colour of the grains suggest about the aetiology?