A Rare Case of Chromoblastomycosis in a 12-year-old boy

J Pak Med Assoc. 2019 Sep;69(9):1390-1393.

Abstract

Chromoblastomycosis is a chronic fungal infection of the subcutaneous tissue. The infection usually results from a traumatic injury and inoculation of the microorganism by a specific group of dematiaceous fungi, resulting in the formation of verrucous plaques. The fungi produce sclerotic or medlar bodies (also called muriform bodies or sclerotic cells) seen on direct microscopic examination of skin smears. The disease is often found in adults due to trauma. We report a case of chromoblastomycosis in a 12-year-old child in whom the infection started when he was only 4 years old with secondary involvement of bones, cartilage, tongue and palatine tonsils. The child was not immunosuppressed.

Keywords: Chromoblastomycosis, dematiaceous fungi, verrucous lesions, medlar bodies, culture..

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Bone Diseases, Infectious / diagnostic imaging*
  • Bone Diseases, Infectious / drug therapy
  • Carbaryl / therapeutic use
  • Child
  • Chromoblastomycosis / diagnosis*
  • Chromoblastomycosis / diagnostic imaging
  • Chromoblastomycosis / drug therapy
  • Finger Joint / diagnostic imaging
  • Humans
  • Invasive Fungal Infections / diagnosis*
  • Invasive Fungal Infections / diagnostic imaging
  • Invasive Fungal Infections / drug therapy
  • Lymphadenopathy / diagnosis
  • Male
  • Metatarsophalangeal Joint / diagnostic imaging
  • Methicillin-Resistant Staphylococcus aureus
  • Palatine Tonsil
  • Pharyngeal Diseases / diagnosis
  • Pharyngeal Diseases / drug therapy
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / drug therapy

Substances

  • Anti-Bacterial Agents
  • Carbaryl