Laboratório de Microbiologia Clínica, Santa Casa de Misericórdia, Porto Alegre, Brazil. severo@santacasa.tche.br.
We report a case of black grain mycetoma in a 74-years-old man who presented with a 50-yr. history of sinus-tract formation in the right foot. This is the first case of an Exophiala jeanselmeimycetoma successfully treated with itraconazole. In addition a review of the literature on this subject was done.