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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

WATTIEZ, Víctor et al. Chromomycosis: casuistics of the Dermatology Service of the National Hospital, period 1991- 2015. Rev. virtual Soc. Parag. Med. Int. [online]. 2017, vol.4, n.2, pp.27-33. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2017.04(02)27-033.

Introduction:

Chromomycosis is a deep mycosis caused by the percutaneous traumatic inoculation of dematiaceous fungi that inhabit soil and vegetal debris. It is a mycosis of difficult management, with important morbidity, that affects a population generally of precarious socio-economic conditions in a productive stage of life.

Objectives:

To determine the frequency and clinical characteristics of chromomycosis in the Dermatology Service of the National Hospital (Itauguá, Paraguay) over a 24-year period (1991- 2015).

Methodology:

Observational descriptive study of 25 cases of chromomycosis with mycological and/or anatomopathological confirmation.

Results:

Mycosis was more frequent in adult men from rural areas, engaged in agricultural work. Lesions in lower limbs prevailed. The most frequent causative agent was Fonsecae sp. Itraconazole was the most commonly used treatment.

Conclusions:

Chromomycosis affected preferentially adult men from rural areas, and Fonsecae sp. was the most frequently isolated fungus.

Keywords : chromoblastomycosis; mycosis; fungi; Fonsecae sp.; itraconazole; cryotherapy.

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