Combined treatment in patient with extensive chromomycosis

Authors

Keywords:

chromoblastomycosis, chromoblastomycoses, chromomycoses, chromomycosis, dermatitis verrucosa.

Abstract

Introduction: Chromomycosis is a chronic, progressive, granulomatous fungal infection, usually limited to the skin and subcutaneous cellular tissue, which can generate complications such as chronic pain and functional impotence, bacterial infection, elephantiasis, lymphedema and squamous cell carcinoma, if not diagnosed and treated promptly.
Objective: To present a case of extensive chromomycosis, of long evolution, successfully treated with systemic antifungal agents, reconstructive surgery and rehabilitation.
Clinical case: 38-year-old male patient, skin phototype IV, agricultural worker, with disseminated cutaneous symptoms, from the dorsum of the right hand, forearm and elbow, due to a large granulomatous verrucous plaque, with ulcerated areas and fumagoid bodies, associated with pruritus. The diagnosis was clinical-epidemiological, confirmed by direct examination with 10% potassium hydroxide. The therapy was combined: fluconazole 300 mg daily for 4 months, surgical excision of the lesion and local plasty using free skin flap and graft techniques, in 6 surgical sessions. She received rehabilitation treatment with laser shower, scar massage and assisted active exercises to recover the function of the limb. Healing was slow, but he had a satisfactory evolution.
Conclusions: It is difficult to treat a case of chromomycosis of chronic evolution, in which systemic treatment is not sufficient to obtain clinical and mycological cure, so combined treatment becomes a very effective tool for the dermatologist, who must take into account all possible options and assess the particularities of each case.

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Author Biographies

Tania Alemán Martínez, Policlínico Docente Julio Castillo. Chambas. Ciego de Ávila

Máster en Enfermedades Infecciosas. Especialista de 1er grado en Medicina General Integral y Dermatología. Profesora Auxiliar. Investigador agregado. Dermatóloga del municipio

Yunia Flores Ruiz, Hospital Provincial Roberto Rodríguez

Máster en Enfermedades Infecciosas. Especialista de 1er grado en Medicina General Integral y Dermatología. Profesora Asistente. Dermatóloga del hospital

Onesio Esteban de León Gutierrez, Policlínico docente Camilo Cienfuegos

Especialista de 2do grado en Medicina General Integral y Medicina Física y Rehabilitación Profesor Asistente. Investigador agregado. Fisiatra del policlínico

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Published

2023-07-01

How to Cite

1.
Alemán Martínez T, Flores Ruiz Y, de León Gutierrez OE. Combined treatment in patient with extensive chromomycosis. Rev Cubana Med Milit [Internet]. 2023 Jul. 1 [cited 2025 May 9];52(3):e02302782. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/2782

Issue

Vol. 52 No. 3 (2023): July - september

Section

Case Presentation

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