Chromoblastomycosis after a leech bite complicated by myiasis: a case report
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Issue date
2011-01-12Submitted date
2020-09-07Subject Terms
Internal Transcribe SpacerItraconazole
Leprosy
Myiasis
Chromoblastomycosis
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Show full item recordAbstract
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.Citation
Slesak, G., Inthalad, S., Strobel, M. et al. Chromoblastomycosis after a leech bite complicated by myiasis: a case report. BMC Infect Dis 11, 14 (2011). https://doi.org/10.1186/1471-2334-11-14Publisher
Springer Science and Business Media LLCJournal
BMC Infectious DiseasesType
Journal ArticleItem Description
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.NHM Repository
EISSN
1471-2334ae974a485f413a2113503eed53cd6c53
10.1186/1471-2334-11-14
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