A Case of Chromoblastomycosis Caused by Fonsecaea pedrosoi Successfully Treated by Oral Itraconazole Together with Terbinafine

Abstract Patients with chromoblastomycosis (CBM) usually have a history of local skin damage related to outdoor activities, mainly manifested as chronic refractory proliferative pathologic changes. We report a case of a 56-year-old man with CBM, identified as Fonsecaea pedrosoi infection by fungal c...

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Main Authors: Xu-Cheng Shen (Author), Xiang-Nong Dai (Author), Zhi-Min Xie (Author), Ping Li (Author), Sha Lu (Author), Jia-Hao Li (Author), Yi Zhang (Author), Xing-Dong Ye (Author)
Format: Book
Published: Adis, Springer Healthcare, 2020-02-01T00:00:00Z.
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Summary:Abstract Patients with chromoblastomycosis (CBM) usually have a history of local skin damage related to outdoor activities, mainly manifested as chronic refractory proliferative pathologic changes. We report a case of a 56-year-old man with CBM, identified as Fonsecaea pedrosoi infection by fungal culture and gene sequencing. This patient was successfully treated with a regimen of oral itraconazole (ITZ) and terbinafine lasting 7 months. Through in vitro drug sensitivity tests, minimum inhibitory concentrations of amphotericin, ITZ, and terbinafine were 1 μg/ml, 0.25 μg/ml, and 1 μg/ml, respectively. In this case, terbinafine was found to be more effective than ITZ.
Item Description:10.1007/s13555-020-00358-y
2193-8210
2190-9172