A farmer presents with multiple discharging sinuses in the leg not responding to antibiotics. Most likely diagnosis is: (A) Madurella, (B) Actinomycetoma, (C) Nocardia, (D) Sporothrix
Answer is A. Actinomycotic mycetoma usually respond well to sulphonamides and antibiotics, but mycotic mycetoma may require amputation. Sporothrix causes sporotrichosis is a nodular ulcerating disease of the skin and subcutaneous disease. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th edition