<prompt> A farmer has an ulcer on the leg with indurated margin and multiple sinuses with discharging granules. The likely diagnosis is -MycetomaScrofulodermaLupus vulgarisActinomycosis  <response>: Mycetoma MaduramycosisIs a localized chronic granulomatous involvement of the subcutaneous and deeper tissues, commonly affecting the foot and less often the hand and other parts.Presenting as a subcutaneous swelling with multiple discharging sinuses.Sinuses discharge seropurulent fluid containing granules.These granules are microcolonies of the etiological agents.A similar condition called botryomycosis is caused by Staphylococcus aureus. 