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Chromomycosis arising in a Tunisian man
N Ezzine-Sebaï1, R Benmously, B Fazaa
1Dermatology Department, Charles Nicolle Hospital, Tunis, Tunisia.
Dermatology Online Journal
|September 10, 2005
Summary
This report details a rare case of chromomycosis, a chronic fungal infection, in Tunisia. Successful treatment involved surgical excision and oral terbinafine, with no recurrence over three years.
Area of Science:
- Dermatology
- Mycology
- Infectious Diseases
Background:
- Chromomycosis is a chronic fungal infection endemic to tropical regions, characterized by slow progression and potential complications.
- This fungal disorder is exceptionally rare in Tunisia, making each case report significant for regional medical awareness.
Observation:
- A 28-year-old butcher from rural Tunisia presented with a 1.5-year-old, 3.5-cm verrucous, violet-colored tumor on his left buttock.
- Fungal culture from the lesion's border confirmed Fonsecaea pedrosoi as the causative agent of chromomycosis.
Findings:
- The patient underwent surgical excision of the chromomycosis lesion.
- Post-operative treatment with oral terbinafine (500 mg/day) for two months resulted in complete resolution.
Implications:
- This case highlights the importance of considering chromomycosis in dermatological diagnostics, even in non-endemic areas like Tunisia.
- Surgical excision combined with oral terbinafine appears to be an effective treatment strategy for localized chromomycosis.
- Dermatologists should maintain awareness of this rare but treatable fungal infection for timely diagnosis and management.