Chromoblastomycosis after a leech bite complicated by myiasis: a case report.
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 bega...
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
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BioMed Central
2011
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| Subjects: |
| _version_ | 1797069118273224704 |
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| author | Slesak, G Inthalad, S Strobel, M Marschal, M Hall, M Newton, P |
| author_facet | Slesak, G Inthalad, S Strobel, M Marschal, M Hall, M Newton, P |
| author_sort | Slesak, G |
| collection | OXFORD |
| description | 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. |
| first_indexed | 2024-03-06T22:19:46Z |
| format | Journal article |
| id | oxford-uuid:549f9209-009f-42a2-b6ee-4bdfa43c10c2 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T22:19:46Z |
| publishDate | 2011 |
| publisher | BioMed Central |
| record_format | dspace |
| spelling | oxford-uuid:549f9209-009f-42a2-b6ee-4bdfa43c10c22022-03-26T16:39:07ZChromoblastomycosis after a leech bite complicated by myiasis: a case report.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:549f9209-009f-42a2-b6ee-4bdfa43c10c2ParasitologyInfectious diseasesAsiaEnglishSymplectic Elements at OxfordBioMed Central2011Slesak, GInthalad, SStrobel, MMarschal, MHall, MNewton, P 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. |
| spellingShingle | Parasitology Infectious diseases Asia Slesak, G Inthalad, S Strobel, M Marschal, M Hall, M Newton, P Chromoblastomycosis after a leech bite complicated by myiasis: a case report. |
| title | Chromoblastomycosis after a leech bite complicated by myiasis: a case report. |
| title_full | Chromoblastomycosis after a leech bite complicated by myiasis: a case report. |
| title_fullStr | Chromoblastomycosis after a leech bite complicated by myiasis: a case report. |
| title_full_unstemmed | Chromoblastomycosis after a leech bite complicated by myiasis: a case report. |
| title_short | Chromoblastomycosis after a leech bite complicated by myiasis: a case report. |
| title_sort | chromoblastomycosis after a leech bite complicated by myiasis a case report |
| topic | Parasitology Infectious diseases Asia |
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