PMC5288886_01
X rays of the foot showing extensive osteomyelitis with tarsal, metatarsal and phalange bones destruction (arrows)
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Fig1
X-ray of the right foot was performed and showed extensive destruction of the tarse, metatarse and phalanges (Fig. 1).
The resected specimen showing cavitis filled of yellowish materiel (arrow) corresponding to mycetoma grains
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Fig2
Some weeks later, after the process of decalcification, the macroscopic evaluation found a deep soft tissue and bone destruction consisted of round cavitis filled of yellowish crumbly material (Fig. 2).
Histological aspects (HES stained section) with a fractured colony destroying the bone tissue
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Fig3
The colonies had deeply basophilic outer layers with branching filaments (Figs. 3 and 4); some colonies were fractured and had a pale center.
The histological image (HES stained section) showing a mycetoma colony with deeply basophilic outer layer and a pale center
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Fig4
The colonies had deeply basophilic outer layers with branching filaments (Figs. 3 and 4); some colonies were fractured and had a pale center.
Histological image (PAS stained section) showing a positive staining colony
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Fig5
They stained positive for PAS (Periodic Acid-Schiff) (Fig. 5).