International Journal of Health & Allied Sciences

CASE REPORT
Year
: 2012  |  Volume : 1  |  Issue : 3  |  Page : 194--196

Disseminated chromoblastomycosis: Diffuse truncal involvement with hematogenous spread


KVT Gopal1, TV Ramani2, Supriya Panda2, PVB Rama Laxmi3 
1 Department of Dermatology, Maharajah's Institute of Medical Sciences, Nellimarla, Vizianagaram, Andhra Pradesh, India
2 Department of Microbiology, Maharajah's Institute of Medical Sciences, Nellimarla, Vizianagaram, Andhra Pradesh, India
3 Department of Pathology, Maharajah's Institute of Medical Sciences, Nellimarla, Vizianagaram, Andhra Pradesh, India

Correspondence Address:
KVT Gopal
4-69-19, Opp. Shanti Ashram Street, Lawsons Bay Colony, Visakhapatnam - 530 017
India

Chromoblastomycosis is a chronic fungal infection of the skin and subcutaneous tissue caused by one of the several species of dematiaceous fungi usually affecting the extremities and spreads by local inoculation and through lymphatics. A 27-year-old male alcoholic presented with a diffuse large polycyclic, indurated, verrucous crusted plaque covering the entire lower back of 6 months duration that gradually extended to involve the right flank and abdomen. Since 2 months, he developed extensive multiple discrete verrucous nodules with a crusted and scaly surface over the face and all extremities. Systemic examination revealed no abnormalities. Serum biochemistry profile and HIV screening revealed no abnormality. Histopathological examination demonstrated pseudoepitheliomatous hyperplasia, granulomatous reaction with foreign body giant cells, and scattered pigmented thick-walled yeast like cells in the dermis suggestive of chromoblastomycosis. Cultures on Sabouraud«SQ»s dextrose agar grew dark greyish velvety fungal colonies that on microscopic examination revealed acropetal budding with oval-shaped conidia suggestive of Cladophialophora carrionii. We report the first case of chromoblastomycosis from the coastal region of Andhra Pradesh, who was immunosuppressed due to severe alcoholism and presented with extremely rare features of extensive truncal involvement and hematogenous dissemination.


How to cite this article:
Gopal K, Ramani T V, Panda S, Laxmi PR. Disseminated chromoblastomycosis: Diffuse truncal involvement with hematogenous spread.Int J Health Allied Sci 2012;1:194-196


How to cite this URL:
Gopal K, Ramani T V, Panda S, Laxmi PR. Disseminated chromoblastomycosis: Diffuse truncal involvement with hematogenous spread. Int J Health Allied Sci [serial online] 2012 [cited 2020 Apr 3 ];1:194-196
Available from: http://www.ijhas.in/article.asp?issn=2278-344X;year=2012;volume=1;issue=3;spage=194;epage=196;aulast=Gopal;type=0