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Surgical excision of scalp mycetoma due to Nocardia.

A 60-year-old patient presented with a mycetoma of the scalp with multiple chronic sinuses due to nocardiosis of the scalp. Recurrent bleeding from the sinuses necessitated surgical excision which led to a gratifying result. The case illustrates the importance of fungal culture in the diagnosis of cutaneous lesions and emphasises the role of surgery in mycetoma that are resistant to conventional therapy.