Chromoblastomycosis is an uncommon, chronic granulomatous fungal infection of the skin and subcutaneous tissue. Chromoblastomycosis is most commonly caused by the traumatic inoculation of dematiaceous (pigmented) fungi, most commonly species, species, and species. Chromoblastomycosis usually affects agricultural workers in tropical and subtropical climates. The World Health Organization classifies chromoblastomycosis as a neglected tropical and occupational disease that commonly affects middle-aged men in poor to middle-income countries. The cutaneous lesions of chromoblastomycosis typically affect the lower extremities and present as polymorphous, hyperkeratotic, or fungating small papules, plaques, verrucous nodules, or ulcers; therefore, a high degree of clinical suspicion is necessary to consider the diagnosis of chromoblastomycosis. The diagnosis is made by visualization of the thick-walled pigmented structures referred to as sclerotic bodies (also known as Medlar bodies or muriform bodies) or pigmented septate hyphae or both on a biopsy specimen of the lesion. Treatment may consist of locally destructive techniques, prolonged systemic antifungal therapy, and/or surgical excision. In this paper, we present an immunocompetent 80-year-old Caucasian woman who developed an isolated lesion of chromoblastomycosis on the forearm while gardening in Texas, a non-endemic area for the disease. Her infection was refractory to systemic antifungal medications and cryotherapy with liquid nitrogen. Ultimately, her fungal infection was successfully treated with a wide local surgical excision of the infectious cutaneous lesion.
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http://dx.doi.org/10.7759/cureus.73619 | DOI Listing |
Am J Case Rep
December 2024
Department of Pediatric Otolaryngology, Head and Neck Surgery, Chair of Pediatric Surgery, Medical University of Silesia (SUM), Katowice, Poland.
BACKGROUND Ranulas are typical causes of sublingual cysts in children. However, our case was histopathologically confirmed to be a dermoid cyst. Epidermoid and dermoid cysts of the floor of the mouth account for <0.
View Article and Find Full Text PDFJ Foot Ankle Surg
December 2024
Fellowship-Trained, Board Certified Foot and Ankle Surgeon; Orthopedic Foot and Ankle Center, 350 W. Wilson Bridge Rd, Ste. 200, Worthington, OH 43085.
J Plast Reconstr Aesthet Surg
November 2024
The Department of Perineal Plastic Surgery and Gender Reshaping of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Electronic address:
Objectives: To introduce a novel technique using the buried-guided suture method for suspending the alar crus to correct nostril exposure in East Asians and to investigate its safety and efficacy.
Methods: Patients with ptotic alar crus and nostril exposure at our clinic were enrolled between December 2011 and December 2023. Via an intranasal incision, the excess skin on the inner side of the nostrils was excised.
J Plast Reconstr Aesthet Surg
November 2024
Department of Hand Surgery, Herlev/Gentofte University Hospital of Copenhagen, Hospitalsvej 1, 2900 Hellerup, Denmark; University of Copenhagen, Faculty of Health and Medical Sciences, Institute of Clinical Medicine, Blegdamsvej 3B, 2200 Copenhagen, Denmark.
The restoration of nerve function after the injury might be complicated by the development of a disorganized fibrous mass-a neuroma. This results in sensory and/or motor deficits and pain that can be severely debilitating. Surgical excision of the painful neuroma may leave a gap, which can be bridged using autografts or allografts.
View Article and Find Full Text PDFWorld J Surg Oncol
December 2024
Department of Gynecologic Oncology, Ankara Bilkent City Hospital, Faculty of Medicine, University of Health Sciences, Ankara, Turkey.
Objective: The primary objective of this study was to identify the risk of metastasis to lymph nodes above the inferior mesenteric artery (IMA) in endometrioid-type endometrial cancer (EC) and the factors that influence metastasis.
Methods: The study included patients who had been operated on for endometrioid-type EC in three gynecological oncology centers between 2007 and 2023. The supramesenteric lymph node (SM-LN) is the region between the left renal vein and the IMA, whereas the inframesenteric lymph node (IM-LN) is the region between the IMA and the aortic bifurcation, as determined by the level of the IMA.
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