Also known as “mycotic mycetoma” and "Madura foot"
Chronic subcutaneous fungal skin and soft tissue infection
Caused by many different types of molds
Infection occurs following inoculation of conidia into skin or subcutaneous tissue
Usually confined to subcutaneous tissue but can spread to fascia, bone, and lymph nodes via continguous dissemination 
There are at least 41 organisms capable of causing<unk> 
Most frequent pathogens include
Madurella mycetomatis
Nigrograna mackinnonii
Trematosphaeria grisea
Falciformispora senegalensis
Scedosporium apiospermum
Madurella mycetomatis
Nigrograna mackinnonii
Trematosphaeria grisea
Falciformispora senegalensis
Scedosporium apiospermum
Eumycetoma
Actinomycosis
Giant cell tumor
Botryomycosis
Ganglion cyst
Nocardiosis
Basal cell carcinoma
Foreign body granuloma