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Concurrent mycetoma and chromomycosis
1Department of Microbiology, Chhattisgarh Institute of Medical Sciences, Bilaspur, Chhattisgarh, India.
Indian Journal of Medical Microbiology
|November 29, 2011
Summary
This case report details a rare co-infection of chromoblastomycosis and mycetoma in a cattle farmer. Combined fungal infections present treatment challenges with poor outcomes.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Chromoblastomycosis and Madura foot are chronic subcutaneous mycoses.
- These infections typically result from traumatic implantation of fungi in outdoor workers.
- Co-infection presents significant therapeutic challenges and high relapse rates.
Observation:
- A 38-year-old cattle farmer presented with a 9-year history of verrucous nodules and discharging sinuses on his left lower leg and foot.
- KOH mount revealed Fonsecaea pedrosoi, and biopsy confirmed fungal mycetoma.
- The patient received Itraconazole and cotrimoxazole with minimal improvement.
Findings:
- Diagnosis of co-existing chromoblastomycosis and mycetoma confirmed.
- Fonsecaea pedrosoi identified as the causative agent for chromoblastomycosis.
- Treatment with Itraconazole and cotrimoxazole showed limited efficacy.
Implications:
- This rare co-infection highlights diagnostic and therapeutic difficulties.
- Geographical distribution may influence the occurrence of combined mycoses.
- Further research into effective treatment strategies for co-infections is warranted.
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