Atypical presentation of Madurella mycetomatis mycetoma in a renal transplant patient.

A renal transplant patient presented with a swelling on his foot. Fungal hyphae were found in the abscess, and culture demonstrated Madurella mycetomatis, an agent of mycetoma. There were no black grains in the pus and no overlying sinuses. This was an atypical presentation of maduromycosis in a renal transplant patient.