Exophiala jeanselmei Tumefaction on the right foot. Sinus tract expelling black grains. Granule made up of compact brown swollen cells. Direct examination by KOH mount (100 X). Clinical healing, after 27 months´ therapy with itraconazole. Photographs obtained from: LC Severo, FM Oliveira, G Vettorato, AT Londero. Mycetoma caused by Exophiala jeanselmei. Report of a case successfully treated with itraconazole and review of the literature. Rev Iberoam Micol 1999; 16: 57-59.