Curvularia lunata causing mycetoma pedis - a case report

A 49-year-old female from a farming community in the North Central province presented with chronic left leg swelling for past 25 years. She had indurated swelling of the left foot and ankle with nodules and sinuses that discharge black grains. Fungal colonies were detected in histology sections. Curvularia lunata was isolated from tissue biopsy. There was a satisfactory response to treatment with oral itraconazole. Curvularia lunata is a rare cause of black grain mycetoma reported from Sudan and Senegal. This is the first published report of mycetoma caused by Curvularia lunata from Sri Lanka.