Exophiala jeanselmei causing mycetoma pedis was published in Sabouraudia 18 (1980) without understanding the clinical picture of the case. With our little knowledge at that time we mistook the ruptured nodules as sinuses. The cauliflower-like swelling with many black spots is characteristic of chromomycosis. The then reviewers have not corrected us for wrong interpretation. We now think that the case is chromomycosis but not mycetoma.
Article Exophiala jeanselmei causing mycetoma pedis in India
Histopathology can help in that case. Micetoma produces granules, Splendori-hoepli reaction in the tissue. Chromomycoses is known to produce sclerotic bodies.
E. jeanselmei may produce a wide spectrum of diseases including phaohyphomycosis (PHM), chromoblastomycosis (CBM), mycetoma and fungemia.
Histopathology is crucial to separate CBM from PHM and mycetoma. When causing CBM. E, jeanselmei produces muriform cells (sclerotic bodies). If causing PHM, septated pigmented hyphae, toruloid hyphae, vesicular fungal elements, etc. E. jeanselmei produces peculiar eumycetoma grains.
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