Cases of Mycetoma

Civil Surgeon, Pcrtabgarh. I.?Case of Mycetoma of the hand. Mussamat Doolaree, aged 30, presented herself at the Pertabgarh Dispensary on the 1st January 1880. She stated that 3 years ago a swelling began on the dorsal aspect of the little finger of the left hand. It slowly increased up to May last, when, however, it took an active growth. When admitted an oval tumour, 2 inches in its longest diameter, was seen on the hand, involving the ring and little fingers, which were displaced forwards and inwards, and were widely separated from the other fingers by the intervening tumour: the palm and dorsum of the hand were also involved ; upwards the growth did not extend beyond the heads of the metacarpal bones of the ring and little fingers. The rest of the hand was not affected. A suppurating ulcer, the result of an escharotic 11 inches in diameter, was seen on the inner margin of the hand : no sinuses existed. As excision presented the only hope of cure, the patient was at once put under chloroform and an incision made into the tumour. It was found to be a mycetoma. The ring and little fingers and their metacarpal bones had become a white glairy-looking mass of tissue. All