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Chromoblastomycosis caused by Cladophialophora carrionii in a child from India

Narayanappa Shiroorkar Pradeepkumar1, Noyal Mariya Joseph

  • 1Department of Pathology, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India. dr.pradeep_kumar@yahoo.com

Journal of Infection in Developing Countries
|July 29, 2011
PubMed

Insights

Chromoblastomycosis, a chronic fungal skin infection, is rare in children. This case highlights a successful treatment of a 9-year-old boy with Cladophialophora carrionii using antifungal medications.

Area of Science:

  • Mycology
  • Dermatology
  • Infectious Diseases

Background:

  • Chromoblastomycosis is a chronic fungal infection affecting skin and subcutaneous tissue, typically seen in adult males after trauma.
  • Lesions commonly occur on lower limbs; upper limb and facial involvement are rare.
  • Pediatric cases of chromoblastomycosis are exceptionally infrequent.

Observation:

  • A 9-year-old boy from India presented with a rare case of cutaneous chromoblastomycosis on his left arm.
  • The initial presentation was misdiagnosed as cutaneous tuberculosis.
  • The causative agent was identified as Cladophialophora carrionii.

Findings:

  • The patient received treatment with a combination of itraconazole and terbinafine.
  • The cutaneous chromoblastomycosis showed a positive response to the prescribed antifungal therapy.
  • This case expands the understanding of chromoblastomycosis presentation and treatment in pediatric populations.

Implications:

  • This case underscores the importance of considering chromoblastomycosis in pediatric differential diagnoses, even with atypical lesion locations.
  • Successful treatment with itraconazole and terbinafine suggests these antifungals are effective in pediatric chromoblastomycosis.
  • Highlights the need for accurate diagnosis to ensure timely and appropriate management of this fungal infection in children.

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