Chromomycosis with Atypical Presentation

Authors

Abstract

Introduction: Chromomycosis is a rare, chronic, subcutaneous fungal infection caused by trauma or inoculation of dematiaceous fungi.

Objective: To report a clinical case of atypical chromomycosis.

Case report: On physical examination of the lower right abdomen a 59-year-old male patient was found to have an infiltrated plaque with a hyperpigmented erythematous-squamous border, a hypochromic center, and approximately 10 x 8 cm in size. A skin biopsy was performed, which reported acute and chronic inflammatory infiltrate with multinucleated giant cells, a well-defined image with a thickened brown wall resembling “copper pennies” or “coffee beans.” Chromomycosis was diagnosed and treatment was started with oral fluconazole 200 mg daily.

Conclusions: A clinical case of chromomycosis was presented with no occupational history to explain the disease, and although the location is generally in areas exposed to trauma, it has an atypical location.

Keywords: chromomycosis; chromoblastomycosis; Fonsecaea pedrosoi.

Downloads

Download data is not yet available.

Published

2025-07-16

How to Cite

1.
Ortuzar Menesia E, Arteaga Hernández E, Camacho Fernández IC, Sánchez González TA. Chromomycosis with Atypical Presentation. Rev Cubana Med [Internet]. 2025 Jul. 16 [cited 2025 Dec. 16];64. Available from: https://revmedicina.sld.cu/index.php/med/article/view/3624

Issue

Section

Case Reports