Chromoblastomycosis after a leech bite complicated by myiasis: a case report

Title
Chromoblastomycosis after a leech bite complicated by myiasis: a case report
Authors
Slesak, G; Inthalad, S; Strobel, M; Marschal, M; Hall, MJR; Newton, PN
Keywords
FUNGAL PATHOGENS; IDENTIFICATION; FONSECAEA
Issue Date
2011
Publisher
BMC INFECT DIS
Citation
BMC Infect. Dis.;12-Jan;2011;11;
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.
URI
http://hdl.handle.net/11267/2444
ISSN
1471-2334
Appears in Collections:
5.Mahosot Hospital > Journal articles
Files in This Item:

qrcode

Items in LAOSpace are protected by copyright, with all rights reserved, unless otherwise indicated.