Abstract
This case study describes the presentation of a tropical foot infection that presented in a 38-year-old male farm worker from the eastern province of Saudi Arabia who contracted the fungal infection that is Madurella mycetomatis. Mycetomas or Madura foot is characterized by a slow progressive infection that can result in severe soft tissue and muscle involvement along with destruction of the underlying bone. This foot pathology is rare in the United States and across Europe; however, the increasing influx of a migrant population means that a heightened awareness of its existence is needed.