51-year-old male, biopsied elsewhere some years back. The diagnosis was "mycetoma," and apparently the clinician treated him with antifungals, obviously with no success. Special stains are pending, but I think we're dealing with an actinomycotic mycetoma rather than a eumycotic one. The distinction is important, as the actinomycotic ones often respond to aggressive antimicrobial therapy, while the fungal ones do not.