Chromoblastomycosis due to Fonsecaea monophora misdiagnosed as sporotrichosis and cutaneous tuberculosis in a pulmonary tuberculosis patient

Autor: Dongmei Shi, Wei Zhang, Guixia Lu, G. Sybren de Hoog, Guanzhao Liang, Huan Mei, Hailin Zheng, Yongnian Shen, Weida Liu
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Medical Mycology Case Reports, Vol 11, Iss C, Pp 57-60 (2016)
Druh dokumentu: article
ISSN: 2211-7539
DOI: 10.1016/j.mmcr.2016.05.001
Popis: Chromoblastomycosis is caused by dematiaceous fungi. It develops after inoculation of the organism into the skin. We report a case of chromoblastomycosis in a pulmonary tuberculosis patient without known history of trauma. The lesions were initially diagnosed as sporotrichosis and skin tuberculosis. Histopathology of scales and skin biopsy specimen revealed sclerotic bodies, the hallmark of chromoblastomycosis. The causative organism was identified as Fonsecaea monophora by rDNA ITS sequencing. The lesions recovered markedly after two month treatment with oral terbinafine 250 mg daily according to drug sensitive test in vitro in combination with local thermotherapy
Databáze: Directory of Open Access Journals