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NJBMS - Volume 3, Issue 4, April - June 2013

Pages: 309-311
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CHROMOBLASTOMYCOSIS RECURRENCE IN IMMUNOCOMPETENT HOST - A CASE REPORT

Author: SHAH. SUNIL.R, MODAK. MEERA.S

Category: Microbiology

Abstract:

A farmer aged 61years presented with a soft nodular swelling on the medial aspect of the right plantar region with a black centered ulcer. He gave history of similar small swelling operated 20yearsbefore suggesting recurrence. Present swelling has appeared within 3 weeks. The case was diagnosed as Madura foot with differential diagnosis of synovial cell sarcoma. Excised mass showed black colored foci with granules. Histopathological examination reported it as Pheohyphomycotic chromomycosis. On culture pure growth of Fonsecaeapedrosoi of cladosporium type was obtained. Patient was put on antifungal treatment and advised regular checkups. No recurrence is seen till date. No epidemiological datais available from the area he represents. Data for 'period of recurrence' has not been recorded conclusively. Recurrence of the present lesion after 20yearswith short duration of appearance is peculiar. Since the lesion has a history of recurrence, clinical cure would not be defined.

Keywords: Chromoblastomycosis, Fonsecaeapedrosoi, recurrence, immunocompetent host, endemicity