Chromoblastomycosis after a leech bite complicated by myiasis: a case report

Chromoblastomycosis after a leech bite complicated by myiasis: a case report

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Abstract Background Chromoblastomycosis is a chronic mycotic infection, most common in timbren gmfk25s the tropics and subtropics, following traumatic fungal implantation.Case presentation A 72 year-old farmer was admitted to Luang Namtha Provincial Hospital, northern Laos, with a growth on the left lower leg which began 1 week after a forefoot leech bite 10 years previously.He presented with a cauliflower-like mass and plaque-like lesions on his lower leg/foot and cellulitis with a purulent tender swelling of his left heel.Twenty-two Chrysomya bezziana larvae were extracted from his heel.

PCR of a biopsy of a left lower leg nodule demonstrated Fonsecaea pedrosoi, monophora, or F.nubica.He was successfully treated with long term terbinafin plus itraconazole pulse-therapy and local debridement.Conclusions Chromoblastomycosis is reported for the first time from Laos.

It carries the danger of bacterial and myiasis superinfection.Leech chevy sonic rims for sale bites may facilitate infection.