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Chromoblastomycosis after a leech bite complicated by myiasis: a case report.
BMC Infect Dis ; 11: 14, 2011 Jan 12.
Artigo em Inglês | 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.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Mordeduras e Picadas / Cromoblastomicose / Miíase Tipo de estudo: Relato de casos Aspecto clínico: Diagnóstico Limite: Idoso / Animais / Feminino / Humanos Idioma: Inglês Revista: BMC Infect Dis Assunto da revista: Doenças Transmissíveis Ano de publicação: 2011 Tipo de documento: Artigo