A Rare Case of Chromoblastomycosis Resembling Keloid in an Indonesian Child
Chromoblastomycosis (CBM) is a rare chronic fungal infection caused by various dematiaceous fungi. This mycosis is mostly found in middle-aged males in tropical and subtropical countries. Only few cases of CBM in children have been reported. The diagnosis of CBM is often delayed due to the similarit...
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| Vydané v: | Curēus (Palo Alto, CA) Ročník 13; číslo 10; s. e18490 |
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| Hlavní autori: | , |
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| Jazyk: | English |
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United States
Springer Nature B.V
05.10.2021
Cureus |
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| ISSN: | 2168-8184, 2168-8184 |
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| Abstract | Chromoblastomycosis (CBM) is a rare chronic fungal infection caused by various dematiaceous fungi. This mycosis is mostly found in middle-aged males in tropical and subtropical countries. Only few cases of CBM in children have been reported. The diagnosis of CBM is often delayed due to the similarities with other dermatological diseases, such as cutaneous tuberculosis, mycetoma, leprosy, viral warts, psoriasis vulgaris, or malignancies. We report a case of an 11-year-old healthy boy having CBM. On his left knee, there were large erythematous plaques and tumors with scaly surfaces, some lesions appeared to be cauliflower-like. The patient denied pain and pruritus. The preliminary diagnosis was keloid; however, histopathological findings led to the final diagnosis, which was established as CBM. The patient was treated with oral itraconazole 100 mg daily. His lesions partially resolved within one month of treatment. Although uncommon in children, the differential diagnosis of CBM must be considered in any suspicious lesion(s). Itraconazole 100 mg daily gave a good response in children with CBM. Accurate diagnosis and early treatment are needed to achieve successful management of CBM in children. |
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| AbstractList | Chromoblastomycosis (CBM) is a rare chronic fungal infection caused by various dematiaceous fungi. This mycosis is mostly found in middle-aged males in tropical and subtropical countries. Only few cases of CBM in children have been reported. The diagnosis of CBM is often delayed due to the similarities with other dermatological diseases, such as cutaneous tuberculosis, mycetoma, leprosy, viral warts, psoriasis vulgaris, or malignancies. We report a case of an 11-year-old healthy boy having CBM. On his left knee, there were large erythematous plaques and tumors with scaly surfaces, some lesions appeared to be cauliflower-like. The patient denied pain and pruritus. The preliminary diagnosis was keloid; however, histopathological findings led to the final diagnosis, which was established as CBM. The patient was treated with oral itraconazole 100 mg daily. His lesions partially resolved within one month of treatment. Although uncommon in children, the differential diagnosis of CBM must be considered in any suspicious lesion(s). Itraconazole 100 mg daily gave a good response in children with CBM. Accurate diagnosis and early treatment are needed to achieve successful management of CBM in children. Chromoblastomycosis (CBM) is a rare chronic fungal infection caused by various dematiaceous fungi. This mycosis is mostly found in middle-aged males in tropical and subtropical countries. Only few cases of CBM in children have been reported. The diagnosis of CBM is often delayed due to the similarities with other dermatological diseases, such as cutaneous tuberculosis, mycetoma, leprosy, viral warts, psoriasis vulgaris, or malignancies.We report a case of an 11-year-old healthy boy having CBM. On his left knee, there were large erythematous plaques and tumors with scaly surfaces, some lesions appeared to be cauliflower-like. The patient denied pain and pruritus. The preliminary diagnosis was keloid; however, histopathological findings led to the final diagnosis, which was established as CBM. The patient was treated with oral itraconazole 100 mg daily. His lesions partially resolved within one month of treatment.Although uncommon in children, the differential diagnosis of CBM must be considered in any suspicious lesion(s). Itraconazole 100 mg daily gave a good response in children with CBM. Accurate diagnosis and early treatment are needed to achieve successful management of CBM in children. Chromoblastomycosis (CBM) is a rare chronic fungal infection caused by various dematiaceous fungi. This mycosis is mostly found in middle-aged males in tropical and subtropical countries. Only few cases of CBM in children have been reported. The diagnosis of CBM is often delayed due to the similarities with other dermatological diseases, such as cutaneous tuberculosis, mycetoma, leprosy, viral warts, psoriasis vulgaris, or malignancies. We report a case of an 11-year-old healthy boy having CBM. On his left knee, there were large erythematous plaques and tumors with scaly surfaces, some lesions appeared to be cauliflower-like. The patient denied pain and pruritus. The preliminary diagnosis was keloid; however, histopathological findings led to the final diagnosis, which was established as CBM. The patient was treated with oral itraconazole 100 mg daily. His lesions partially resolved within one month of treatment. Although uncommon in children, the differential diagnosis of CBM must be considered in any suspicious lesion(s). Itraconazole 100 mg daily gave a good response in children with CBM. Accurate diagnosis and early treatment are needed to achieve successful management of CBM in children.Chromoblastomycosis (CBM) is a rare chronic fungal infection caused by various dematiaceous fungi. This mycosis is mostly found in middle-aged males in tropical and subtropical countries. Only few cases of CBM in children have been reported. The diagnosis of CBM is often delayed due to the similarities with other dermatological diseases, such as cutaneous tuberculosis, mycetoma, leprosy, viral warts, psoriasis vulgaris, or malignancies. We report a case of an 11-year-old healthy boy having CBM. On his left knee, there were large erythematous plaques and tumors with scaly surfaces, some lesions appeared to be cauliflower-like. The patient denied pain and pruritus. The preliminary diagnosis was keloid; however, histopathological findings led to the final diagnosis, which was established as CBM. The patient was treated with oral itraconazole 100 mg daily. His lesions partially resolved within one month of treatment. Although uncommon in children, the differential diagnosis of CBM must be considered in any suspicious lesion(s). Itraconazole 100 mg daily gave a good response in children with CBM. Accurate diagnosis and early treatment are needed to achieve successful management of CBM in children. |
| Author | Pamela, Ruri D Khairani, Fatima A |
| AuthorAffiliation | 1 Dermatology, Prabumulih Regional General Hospital, South Sumatera, Prabumulih, IDN 2 Dermatology, Suyoto Hospital Centre of Rehabilitation, Ministry of Defense, Jakarta, IDN |
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| Cites_doi | 10.5114/pdia.2014.40949 10.3855/jidc.1392 10.1371/journal.pntd.0005534 10.7759/cureus.3574 10.1080/13693780802538001 10.4103/0019-5154.182425 10.1080/13693780500543238 10.20473/bikk.V29.2.2017.168-174 10.1007/9783319130903_22 10.1111/j.1365-2230.2009.03415.x 10.1016/j.clindermatol.2006.05.007 10.3390/jof6040204 10.3109/13693786.2010.539631 |
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| Keywords | copper pennies sclerotic cell chromoblastomycosis fungi muriform cell |
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| References_xml | – volume: 31 year: 2014 ident: ref2 article-title: Chromoblastomycosis publication-title: Postepy Dermatol Alergol doi: 10.5114/pdia.2014.40949 – volume: 5 year: 2011 ident: ref4 article-title: Chromoblastomycosis caused by cladophialophora carrionii in a child from India publication-title: J Infect Dev Ctries doi: 10.3855/jidc.1392 – volume: 11 year: 2017 ident: ref9 article-title: Chromoblastomycosis in India: review of 169 cases publication-title: PLoS Negl Trop Dis doi: 10.1371/journal.pntd.0005534 – volume: 10 year: 2018 ident: ref14 article-title: Chromoblastomycosis caused by phialophora verrucosa in a Costa Rican child with skin sequelae due to snake bite publication-title: Cureus doi: 10.7759/cureus.3574 – volume: 47 year: 2009 ident: ref8 article-title: Chromoblastomycosis: an overview of clinical manifestations, diagnosis and treatment publication-title: Med Mycol doi: 10.1080/13693780802538001 – volume: 61 year: 2016 ident: ref13 article-title: Chromoblastomycosis associated with bone and central nervous involvement system in an immunocompetent child caused by exophiala spinifera publication-title: Indian J Dermatol doi: 10.4103/0019-5154.182425 – volume: 44 year: 2006 ident: ref5 article-title: Chromoblastomycosis in children and adolescents in the endemic area of the Falcón State, Venezuela publication-title: Med Mycol doi: 10.1080/13693780500543238 – volume: 29 year: 2017 ident: ref10 article-title: Chromomycosis treatment with combination of itraconazole and terbinafine publication-title: BIKKK doi: 10.20473/bikk.V29.2.2017.168-174 – year: 2015 ident: ref6 article-title: Fungal infections of implantation (chromoblastomycosis, mycetoma, entomophthoramycosis, and lacaziosis) doi: 10.1007/9783319130903_22 – volume: 34 year: 2009 ident: ref3 article-title: Chromoblastomycosis: clinical presentation and management publication-title: Clin Exp Dermatol doi: 10.1111/j.1365-2230.2009.03415.x – volume: 25 year: 2007 ident: ref7 article-title: Chromoblastomycosis publication-title: Clin Dermatol doi: 10.1016/j.clindermatol.2006.05.007 – volume: 6 year: 2020 ident: ref12 article-title: Chromoblastomycosis in an endemic area of Brazil: a clinical-epidemiological analysis and a worldwide haplotype Network publication-title: J Fungi (Basel) doi: 10.3390/jof6040204 – year: 2019 ident: ref1 article-title: Deep fungal infections – volume: 49 year: 2011 ident: ref11 article-title: Mycoses of implantation in Latin America: an overview of epidemiology, clinical manifestations, diagnosis and treatment publication-title: Med Mycol doi: 10.3109/13693786.2010.539631 |
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| Title | A Rare Case of Chromoblastomycosis Resembling Keloid in an Indonesian Child |
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