[An unusual localization of chromoblastomycosis]

Most African cases of chromoblastomycosis present with lesions on the arms or legs. We report the case of a 48 years old man, a retired professional hunter, living in the Haut-Ogooué province of Gabon. The patient presented with extensive lesions of the upper thorax and left shoulder but none on the limbs. Direct examination of crusts and skin biopsies revealed spherical, septated, pigmented bodies. Fonsecaea pedrosoï was isolated in culture. The patient was treated with ketoconazole (400 mg per day). After 9 months of treatment, improvement was noted but cure had not been achieved.