This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: mycology, Subject name: Microbiology
All are true about Madura mycetoma except 
Select and explain. 
A. Fungal infection, B. Presented as painful nodular lesion for many months, C. Discharging sinuses, D. Bone involvement seen
B: Presented as painful nodular lesion for many months
Answer: B: Presented as painful nodular lesion for many months 
Explanation: Clinical features of mycetoma include - painless multiple nodular swellings which may be suppurative and drain through sinuses, feet and lower legs are commonly affected. Bone involvement may lead to osteomyelitis and deformities. Ref: Textbook of Microbiology, Ananthanarayan and Paniker; 9th edition