Chromoblastomycosis in the Gluteal Region: A Case Report

Abstract

Chromoblastomycosis manifests as a persistent, gradual fungal infection affecting the skin and subcutaneous tissues, attributable to various dematiaceous fungal species. It predominantly afflicts rural labourers in tropical and subtropical regions, with its progression typically slow-paced. The lower limbs and hands are commonly affected. The condition manifests with lesions that are ulcerated, crusted, verrucoid, flat, or raised on the skin surface. Medlar first described the characteristic sclerotic bodies. The present case reported a 32-year-old male presenting with an indurated plaque on the left buttock. The diagnosis was confirmed by visualising pathogonomonic sclerotic bodies on histopathological and microbiological examination. Fungal culture yields dematiaceous fungi with Fonsecaea type of sporulation suggestive of chromoblastomycosis in an unusual anatomical area. The patient was treated with itraconazole 200 mg once daily for three months and was relieved of the lesion.

Keywords

• medlar bodies
• microabscess
• pseudoepitheliomatous hyperplasia