Lobomycosis in Soldiers, Colombia.
Emerg Infect Dis
; 25(4): 654-660, 2019 04.
Article
en En
| MEDLINE
| ID: mdl-30882301
ABSTRACT
Lobomycosis is a disease that is endemic to the Amazon rainforest and is caused by the still uncultured fungus Lacazia loboi. This disease occurs in loggers, farmers, miners, fishermen, and persons living near coastal rivers of this region. We report 6 soldiers in Colombia in whom lobomycosis developed after military service in the Amazon area. The patients had nodular and keloid-like lesions on the face, neck, trunk, and limbs. The duration of illness ranged from 2 years to 15 years. The initial diagnosis was leishmaniasis on the basis of clinical manifestations and direct smear results, but biopsies confirmed the final diagnosis of lobomycosis. Treatment with surgical excision, itraconazole and clofazimine was satisfactory. However, the follow-up time was short. Healthcare professionals responsible for the diagnosis and treatment of skin diseases need to be able to recognize the clinical signs of lobomycosis and differentiate them from those of cutaneous leishmaniasis.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Lacazia
/
Lobomicosis
/
Personal Militar
Límite:
Adult
/
Humans
/
Male
País como asunto:
America do sul
/
Colombia
Idioma:
En
Año:
2019
Tipo del documento:
Article