Eumycetoma Caused by Acremonium Species in a Farmer From Western Guatemala: A Case Report

Eumycetoma is a chronic subcutaneous infection caused by filamentous fungi and is clinically characterized by swelling, nodules, sinus tracts, and grain discharge. Acremonium species are rare opportunistic fungal pathogens implicated in eumycetoma, with few reports in the dermatologic literature. This report describes a 64-year-old male farmer from rural western Guatemala with a 14-year history of chronic dermatosis localized to the right foot. Clinical examination identified nodular lesions, crusting, and edema, consistent with mycetoma. Diagnosis was confirmed through mycological studies and morphological identification of Acremonium species.