Mycetoma of the Neck: An Extremely Rare Presentation of a Rare Disease

Mycetoma is an uncommon chronic granulomatous subcutaneous infection. The disease is commonly seen in the foot and uncommon to involve other parts of the body. Mycetoma of the head and neck is a rare entity. Head and neck mycetomas are associated with increased morbidity and even mortality if not treated. Ultrasonography is a non - invasive method which helps in early diagnosis of the disease. Here we present an extremely rare case of mycetoma of neck. A 58 - year - old male presented with a painful swelling in the anterior aspect of the neck with a sinus discharging seropurulent pus for 15 months. Ultrasonography (USG) of the neck revealed the features of mycetoma and the diagnosis was confirmed on histopathology. Fungal mycetoma of the head and neck region is a rare condition. The diagnosis is generally made when the lesions are advanced. Early diagnosis by ultrasonography or cross - sectional imaging leads to better prognosis and minimizes the number of surgeries required.