Chromomycosis, a forgotten tropical disease: a case report and review of the literature
DOI:
https://doi.org/10.29176/2590843X.1590Keywords:
Chromoblastomycosis, Chromomycosis, Dematiaceous fungi, Subcutaneous mycosesAbstract
Introduction: Chromomycosis is a chronic, progressive and granulomatous fungal infection with different manifestations in the skin and subcutaneous cellular tissue. It caused by multiple species of as dematiaceous fungi. The infection manifests as plaques of slow growth, exophytic, desquamative with black spots on its surface. The diagnosis is made with the clinical manifestations and demonstration of the fungus.
Methodology: It is a clinical case report and narrative review of the literature between the period 2000 - 2021, in the PubMed and Scopus databases, using the keywords Chromomycosis, Chromoblastomycosis,
Chromoblastomycoses, Dermatitis Verrucosa, Chromomycoses, Dematiaceous fungi and Subcutaneous mycoses.
Results: We present the case of a 54-year-old man with a diagnosis of long-standing chromomycosis from a rural area in the department of Meta, Colombia. The epidemiology, etiology, pathogenesis, clinical manifestations, complications, diagnosis, therapeutic principles, follow-up and prognosis of this pathology are discussed.
Conclusions: Chromomycosis is a fungal infection usually found in tropical and subtropical areas, however, publications in recent years have changed the epidemiological perspective, It is currently considered a cosmopolitan infection, with reported cases on five continents. The clinical concepts have been maintained over time; New diagnostic methods have been proposed which are not widely available and It remains a real
therapeutic challenge as cure rates are not high and It´s often refractory to different managements.
Author Biographies
Heliana Marcela Botello-Mojica, Médica residente de tercer año de Dermatología. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Médica residente de tercer año de Dermatología. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Lucía Vanden en den-Medina, Médica dermatóloga. Docente de Dermatología. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Médica dermatóloga. Docente de Dermatología. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Felipe Jaramillo- Ayerbe, Médico dermatólogo. Dermatopatólogo. Docente de Dermatología. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Médico dermatólogo. Dermatopatólogo. Docente de Dermatología. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Mayra Alejandra Marulanda-Galvis, Estudiante de internado de Medicina. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
Estudiante de internado de Medicina. Semillero de Investigación en Dermatología (SIDERM). Universidad de Caldas, departamento clínico, Manizales, Colombia.
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