Jahr Catalina, Peruilh Leonardo, Jiménez Maite, Bobadilla Francisco, Segovia Laura
Departamento de Dermatología, Hospital Clínico de la Universidad de Chile, Santiago, Chile.
Centro de Salud Familiar Santiago de la Nueva Extremadura, Santiago, Chile.
Rev Chilena Infectol. 2022 Jun;39(3):349-353. doi: 10.4067/s0716-10182022000200349.
Chromoblastomycosis is a fungal infection of the skin and subcutaneous tissue, of chronic evolution, caused by dematiaceous fungi. The disease occurs worldwide, mainly in tropical and subtropical regions, but in regions like Chile there is only one report of a human case more than 30 years ago. We present the case of a 46-year-old Haitian man, resident in Chile, with verrucous plaques in the right anterior tibial area of one year of evolution. The diagnosis of chromoblastomycosis was confirmed when muriform cells and dematiaceous colonies were observed in the histopathological analysis and the direct microscopy, respectively. After six months of treatment with systemic antimycotics and cryotherapy, complete remission of the lesions was achieved.
着色芽生菌病是一种由暗色真菌引起的皮肤和皮下组织的真菌感染,病程呈慢性。该病在全球范围内均有发生,主要见于热带和亚热带地区,但在智利等地区,30多年前仅有一例人类病例报告。我们报告一例46岁的海地男子,居住在智利,右胫骨前区出现疣状斑块,病程一年。组织病理学分析中观察到砖壁样细胞,直接显微镜检查中观察到暗色菌落,从而确诊为着色芽生菌病。经过六个月的全身抗真菌药物治疗和冷冻治疗,病变完全缓解。