kromoblastomikosis
DESCRIPTION
case reportTRANSCRIPT
Chromoblastomycosis (Chromomycosis)
Sitti Aisyah Rieskiu C11107081
Ernawati C11107083
Shinta Pramita D C11107080
A.Muh. Hadi Kusuma 110207046
Nadia Azpia Tuasikal 110207036
Case Report Name : MNN Sex : Male Age : 67 years old Work : - Marriage status : Married
Anamnesis Primary Kompliant : Edema in left foot Since ±12 motnhs ago Pain in plantar foot Itchiness Bump filled with liquid on left foot, initially
looked little by the time increasingly more larger than before.
Present status Vital sign :
BP : 140/90 mmHgH : 80 x/min B : 22 x/mT : 370C
General condition : mild Hygiene : bad Consciousness : Compos Mentis
Dermatovenorology Efflorescence : Nodule, vesicle, erythema,
edema Location : Left foot Itchiness Pain
Laboratory result WBC : x 10³ / µl (N : 4,00-10,00) RBC : x 106 / µl (N : 4,00-6,00) HGB : g/dL (N :12,00-16,00) HCT : % (N : 37,0-48,0) PLT : x 10³ / µl (N : 150-400) SGOT : U/l (N : <48) SGPT: U/l (N : <41) Ureum : mg/dl (N : 10-50) Creatinin : mg/dl (N : L<1,3, P<1,1)
Lab result -
Further Examination Biopsy
Resume A 67 years old man came to hospital with a
complain edema in left foot and pain in plantar foot and itchiness in left foot since ±12 months ago. Patient had been contact or work in the garden. History of disease: Patient post stroke 7 years ago, Patient had hypertension, cholesterol and uric acid always high 7 years ago, Family history (-)
Internal status in ….. range. Dermatology status: location at left foot, edema, erythema, vesicle, and nodule. Vital status in abnormal BP range.
Diagnosis Chromoblastomycosis
Treatment Compress Potassium Permanganate liquid (PK)
1:10.000 Plainning of biopsy (waiting for laboratory
result )
Chromoblastomycosis(Chromomycosis)
Defenition A chronic fungal infection of the skin and
subcutaneous tissues caused by pigmented fungi, which produce thick- walled single or multi celled clusters (sclerotic or muriform bodies) in tissue, and which are characterized by the production of slow growing exophytic lesions, usually on the feet and legs.
Etiology Chromoblastomycosis is caused by several
fungi, the most common of which are Phialophora verrucosa, Fonsecaea pedrosoi, F. compacta and Cladophialophora carrionii (recent synonym Cladosporium carrionii). Other rare causes include Rhinocladiella aquaspersa. The nomenclature of these fungi has been reviewed by McGinnis.
The causal fungi have been isolated from wood and soil, and the infection usually results from trauma, such as a puncture from a splinter of wood. The condition is usually found in rural communities.
Clinical Features The lesions are usually found on exposed
sites, particularly the feet, legs, arms, face and neck.
A warty papule slowly enlarges to form a hypertrophic plaque.
Painless secondary infection causes itching and pain. Satellite lesions are produced by scratching,
and There may be lymphatic spread to adjacent
areas. Squamous carcinomas may develop in chronic
lesions.
Differential Diagnose
Phialophora verrucosa Fonsecaea pedrosoi Cladophialophora carrionii
TreatmentAntifungal chemotherapy Traconazole (100–200 mg daily) or Terbinafine (250 mg daily)
Cryotherapy or the local application of heat
Surgery is contentious; in larger plaques there is a risk in pursuing this approach as satellite lesions may develop around the excision site.