Chromoblastomycosis after a leech bite complicated by myiasis: a case report.
BMC Infect Dis
; 11: 14, 2011 Jan 12.
Article
em En
| MEDLINE
| ID: mdl-21226934
ABSTRACT
BACKGROUND:
Chromoblastomycosis is a chronic mycotic infection, most common in the tropics and subtropics, following traumatic fungal implantation. CASE PRESENTATION A 72 year-old farmer was admitted to Luang Namtha Provincial Hospital, northern Laos, with a growth on the left lower leg which began 1 week after a forefoot leech bite 10 years previously. He presented with a cauliflower-like mass and plaque-like lesions on his lower leg/foot and cellulitis with a purulent tender swelling of his left heel. Twenty-two Chrysomya bezziana larvae were extracted from his heel. PCR of a biopsy of a left lower leg nodule demonstrated Fonsecaea pedrosoi, monophora, or F. nubica. He was successfully treated with long term terbinafin plus itraconazole pulse-therapy and local debridement.CONCLUSIONS:
Chromoblastomycosis is reported for the first time from Laos. It carries the danger of bacterial and myiasis superinfection. Leech bites may facilitate infection.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
3_ND
Base de dados:
MEDLINE
Assunto principal:
Mordeduras e Picadas
/
Cromoblastomicose
/
Miíase
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Animals
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Female
/
Humans
Idioma:
En
Revista:
BMC Infect Dis
Ano de publicação:
2011
Tipo de documento:
Article