Cromoblastomicosis: Reporte De Caso

Abstract

Chromoblastomycosis (CBM) is a chronic fungal infection that affects the skin and subcutaneous tissue, caused by melanized fungi transmitted through traumatic lesions. It typically occurs in rural areas with tropical and subtropical climates, primarily affecting agricultural and forestry workers, who present with warty, ulcerative, and nodular lesions. The lack of early diagnosis, combined with limited access to medical services, contributes to the progression toward severe complications such as squamous cell carcinoma and elephantiasis. This report presents the case of a 42-year-old male patient who developed an ulcerative lesion on his right elbow. The diagnostic evaluation was based on a biopsy and Grocott’s staining, which revealed mycotic structures characteristic of CBM. Treatment with itraconazole was initiated for three months, resulting in a notable improvement of the lesion. However, the patient discontinued therapy due to financial difficulties, interrupting the healing process and complete resolution of the lesion. CBM poses a diagnostic and therapeutic challenge, especially in low-resource areas. This case underscores the importance of implementing accessible diagnostic methods and training medical personnel for timely diagnosis. Additionally, it highlights the need for financial support to ensure the continuity of treatment for patients in endemic areas. Itraconazole demonstrated efficacy in reducing the lesion, but the interruption of therapy emphasizes the socioeconomic vulnerability of affected patients.