Chromoblastomycosis Presenting as a Solitary Lesion in a Non-endemic Region

Authors

Yelena Dokic
Gordana Verstovsek
Theodore Rosen

Publication Date

12-1-2023

Journal

Cureus

DOI

10.7759/cureus.49791

PMID

38164315

PMCID

PMC10758271

PubMedCentral® Posted Date

12-1-2023

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

copper penny spores, medlar bodies, cutaneous fungal infections, deep fungal infections, dermatology, infectious disease, itraconazole, dematiaceous fungus, chromoblastomycosis

Abstract

Chromoblastomycosis is a neglected tropical disease typically found in endemic tropical and subtropical regions. Herein, we discuss a rare case of a 55-year-old man in Texas who presented with an exophytic papule on the forearm, diagnosed to have chromoblastomycosis by shave biopsy and subsequent histopathological analysis. Treatment options for chromoblastomycosis include long-term oral antifungal therapy with itraconazole, physical modalities such as heat therapy in conjunction with oral antifungals, and surgical interventions such as cryosurgery or surgical excision.