El Mouhaddab M, Basraoui D, Ousehal A, Galuia F
Service de Chirurgie Orthopédique et Traumatologique, HMA, Marrakech, Maroc.
Med Trop (Mars). 2010 Apr;70(2):181-3.
Chromomycosis is a chronic infection caused by various fungi. Bone involvement is exceptional. The purpose of this report is to describe a case of chromoblastomycosis localized on the tarsal bone in a 27-year-old man from southern Morocco. The patient was a former barefoot long-distance runner. He presented with thickening of the skin with a cutaneous fistula on the left forefoot. These manifestations had been ongoing for 2 years. Imaging demonstrated scattered lytic lesions involving tarsal bone and the base of the third metatarsus. Definitive diagnosis was based on direct mycological examination and anatomopathology. Medical and surgical treatment led to stabilization of the lesions. No recurrence was observed during follow-up examination two years later.
着色芽生菌病是一种由多种真菌引起的慢性感染。骨骼受累情况罕见。本报告的目的是描述一例来自摩洛哥南部的27岁男性，其着色芽生菌病局限于跗骨。该患者曾是一名赤脚长跑运动员。他的左前足出现皮肤增厚并伴有皮肤瘘管。这些症状已经持续了两年。影像学检查显示跗骨和第三跖骨基部有散在的溶骨性病变。确诊基于直接真菌学检查和解剖病理学检查。药物和手术治疗使病变稳定。两年后的随访检查未观察到复发。
