Chromoblastomycosis after a leech bite complicated by myiasis: a case report

Chromoblastomycosis after a leech bite complicated by myiasis: a case report

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Abstract Background Chromoblastomycosis is a chronic mycotic infection, most common in the tropics and subtropics, following traumatic malibu relaxer fungal implantation.Case presentation A 72 year-old farmer was admitted to Luang Namtha Provincial Hospital, northern Laos, with a growth on the left lower leg which began 1 week after a forefoot leech bite 10 years previously.He presented with a cauliflower-like mass and plaque-like lesions on his lower leg/foot and cellulitis with a purulent tender swelling of his left heel.Twenty-two Chrysomya bezziana larvae were extracted from his heel.

PCR of a biopsy of a left lower leg nodule demonstrated Fonsecaea pedrosoi, monophora, or F.nubica.He was successfully treated with long term terbinafin plus itraconazole pulse-therapy and local debridement.Conclusions Chromoblastomycosis is reported for the first pabst blue ribbon chandelier time from Laos.

It carries the danger of bacterial and myiasis superinfection.Leech bites may facilitate infection.