Successful treatment of chromoblastomycosis of 10-year duration due to Fonsecaea nubica.

Mycoses

Department of Dermatology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.

Published: April 2018

AI Article Synopsis

  • A 56-year-old male presented with chromoblastomycosis, characterized by large plaque and verrucous hyperplasia on his left upper limb and elbow abnormalities.
  • Diagnosis was confirmed through gross and microscopic assessments, along with the identification of the causative agent, Fonsecaea nubica, using molecular tools.
  • The patient successfully underwent a treatment regimen that included oral antifungals and thermotherapy, and a review of similar cases highlighted that other patients were also males over 30, with lesions following trauma.

Article Abstract

We report a case of chromoblastomycosis due to the presence of large plaque and verrucous hyperplasia lesions on the left upper limb, with elbow abnormal activities, in a 56-year-old male. The diagnosis of chromoblastomycosis was based on gross and microscopic morphologies, histopathological examination and clinical manifestation. Molecular tools were applied to identifying the causative agent Fonsecaea nubica, which is rarely reported to be associated with chromoblastomycosis. The patient was initially treated orally with terbinafine (250 mg/day) and itraconazole (200 mg/day), subsequently patient received thermotherapy (45-50°C, 3 h/day) for 1 month. The patient was successfully cured. A literature review was performed to assess general features, treatment and outcome of chromoblastomycosis due to F.  nubica. All the 5 reviewed patients were male, over 30 years old and their lesions occurred after traumatic inoculation.

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Source
http://dx.doi.org/10.1111/myc.12732DOI Listing

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