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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Chromoblastomycosis of the Face: A Rare Case Report from the District of Western Maharashtra, India
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Chromoblastomycosis of the Face: A Rare Case Report from the District of Western Maharashtra, India

机译：面部色母细胞病：印度马哈拉施特拉邦西部地区的一例罕见病例报告

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Background: Chromoblastomycosis is a non-contagious, chronic localized fungal infection of cutaneous and sub-cutaneous tissues caused by several species of phaeoid (ie. Dematiaceous) fungi. It usually known to occur following trauma with wood splinters and usually occurs on the hands, feet and legs. Diagnosis can be made by direct microscopic demonstration of pathognomic brown sclerotic cells in skin scrapings and a positive fungal culture, confirms the same. Case Presentation:A 40-years old male presented with complaints of slowly spreading raised hyperpigmented lesions, three in number over right side of face and solitary plaque over lip with mild scaling from last six months and it was not associated with itching. Patient did not have any history of injury over the face with wooden splinters. The patient was initially suspected to have Lichen planus and was treated accordingly. But condition of the patients did not improve. He was then sent for Microbiological diagnosis. Laboratory Diagnosis: The diagnosis of Chromoblastomycosis was made by demonstration of sclerotic bodies with transverse septa arranged in cluster on KOH examination. Isolation of Fonsecaea pedrosii on SDA confirmed Chromoblastomycosis.Conclusion:Although Chromoblastomycosis is very rare on the face, our case demonstrates the need for consideration of Chromoblastomycosis in the differential diagnosis of resistant verrucous plaques of the face. We report an unusual case of Chromoblastomycosis for the first time from the state of Maharashtra and probably second case from India.
机译：背景：成色母细胞病是一种由皮肤类和类皮下组织的几种真菌引起的非传染性慢性局部真菌感染。通常已知发生在木头碎片破裂后，并且通常发生在手，脚和腿上。可以通过直接显微镜下观察皮肤刮屑中的病理性棕色硬化细胞和阳性真菌培养物来进行诊断，证实了这一点。病例报告：一名40岁男性，主诉缓慢扩散的色素沉着病变，最近六个月出现在面部右侧3个，嘴唇上方有孤立斑块，轻度结垢，与瘙痒无关。病人没有木制碎片在脸上受伤的历史。该患者最初被怀疑患有扁平苔藓，因此接受了治疗。但是患者的状况没有改善。然后，他被送去进行微生物学诊断。实验室诊断：色母细胞病的诊断是通过在KOH检查中显示出具有横隔的成簇排列的硬化体的硬化体来进行的。结论：虽然脸上的色母细胞很少，但是我们的病例表明在鉴别抗性的脸部疣状斑时需要考虑色母细胞病。我们首次在马哈拉施特拉邦报告了一次不寻常的染色体成色菌病病例，可能在印度报告了第二例。

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