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 CASE REPORT
Year : 2006  |  Volume : 72  |  Issue : 6  |  Page : 443--445

Lymphangitic chromoblastomycosis


1 Department of Dermatology and Venereology, Medical College, Kozhikode, Kerala, India
2 Department of Microbiology, Medical College, Kozhikode, Kerala, India

Correspondence Address:
K Muhammed
Kunnummal House, Koroth School Road, Vatakara - 673 101, Kozhikode, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.29342

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Chromoblastomycosis (CM), a chronic subcutaneous mycosis, is caused by several dematiaceous fungi, the most common being Fonsecaea pedrosoi . It usually occurs in the lower extremities following traumatic implantation of the organisms. We are reporting a case of chromoblastomycosis on the right lower limb in a sporotrichoid pattern caused by F. pedrosoi . The pattern was probably due to lymphatic spread that seems to be one of the rare presentations. The histopathology showed typical muriform or medlar bodies both intracellularly and extracellularly within the granuloma. Culture revealed sporulating organisms ( Cladosporium and Rhinocladiella type) by a combination method, characteristic of F. pedrosoi . Our case responded well to itraconazole.






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Online since 15th March '04
Published by Wolters Kluwer - Medknow