A farmer presents with multiple discharging sinuses in the leg not responding to antibiotics. Most likely diagnosis is
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
Madurella
Actinomycetoma
Nocardia
Sporothrix
mycology