Chromoblastomycosis of the Face: A Rare Case Report from the District of Western Maharashtra, India 899-901
Dr. Rabindra Nath Misra
Prof.& HOD, Department of Microbiology
Pad. Dr. D.Y. Patil Medical College & Research Center,
Pimpri, Pune18, Maharashtra, India.
Background: Chromoblastomycosis is a non-contagious, chronic localized fungal infection of cutaneous and sub-cutaneous tissues caused by several species of phaeoid (ie. Dematiaceous) fungi. It usually known to occur following trauma with wood splinters and usually occurs on the hands, feet and legs. Diagnosis can be made by direct microscopic demonstration of pathognomic brown sclerotic cells in skin scrapings and a positive fungal culture, confirms the same.
Case Presentation:A 40-years old male presented with complaints of slowly spreading raised hyperpigmented lesions, three in number over right side of face and solitary plaque over lip with mild scaling from last six months and it was not associated with itching. Patient did not have any history of injury over the face with wooden splinters. The patient was initially suspected to have Lichen planus and was treated accordingly. But condition of the patients did not improve. He was then sent for Microbiological diagnosis.
Laboratory Diagnosis: The diagnosis of Chromoblastomycosis was made by demonstration of sclerotic bodies with transverse septa arranged in cluster on KOH examination. Isolation of Fonsecaea pedrosii on SDA confirmed Chromoblastomycosis.
Conclusion:Although Chromoblastomycosis is very rare on the face, our case demonstrates the need for consideration of Chromoblastomycosis in the differential diagnosis of resistant verrucous plaques of the face. We report an unusual case of Chromoblastomycosis for the first time from the state of Maharashtra and probably second case from India.