Abstract
Abstract Introduction: Mycetoma is a chronic infection of the skin and the subcutaneous tissue caused by both bacteria and fungi. Eumycetoma, caused by fungus, requires prolonged use of antifungals and/or surgery. Methods: In this scenario it has been attempted to treat a case of eumycetoma with an aim to improve the symptoms and to give an antifungal drug free period. Radiotherapy was delivered in two sittings. In the first sitting, 20 Gy in five fractions was given. Because of the excellent response to the radiotherapy, after 9 months, another 15 Gy was delivered in five fractions. Results: The symptom-free period extended for another 11 months, making a cumulative effect of 21 months. Conclusion: The use of radiotherapy in the salvage of refractory eumycetoma cases should be further explored.
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