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

BMC Infectious Diseases

Case Report

Martin JR Hall¹  Michel Strobel²  Matthias Marschal³  Saythong Inthalad⁴  Günther Slesak⁵  Paul N Newton⁶ 

[1] Department of Entomology, Natural History Museum, Cromwell Road, London, UK;Institut de la Francophonie pour la Médecine Tropicale, Vientiane, Laos;Interfakultäres Institut für Mikrobiologie und Infektionsmedizin, Tübingen, Germany;SFE Medical Project, Luang Namtha, Laos;Luang Namtha Provincial Hospital, Luang Namtha, Laos;SFE Medical Project, Luang Namtha, Laos;Tropenklinik Paul-Lechler-Krankenhaus, 72076, Tübingen, Germany;Wellcome Trust-Mahosot Hospital-Oxford Tropical Medicine Research Collaboration, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos;Centre for Clinical Vaccinology and Tropical Medicine, Churchill Hospital, University of Oxford, Oxford, England, UK;

关键词: Internal Transcribe Spacer;    Itraconazole;    Leprosy;    Myiasis;    Chromoblastomycosis;   

DOI  :  10.1186/1471-2334-11-14

 received in 2010-08-02, accepted in 2011-01-12,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundChromoblastomycosis is a chronic mycotic infection, most common in the tropics and subtropics, following traumatic fungal implantation.Case presentationA 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.ConclusionsChromoblastomycosis is reported for the first time from Laos. It carries the danger of bacterial and myiasis superinfection. Leech bites may facilitate infection.

【 授权许可】

CC BY   
© Slesak et al; licensee BioMed Central Ltd. 2011