Display options
Cite
Jakopp B, Stamm B, Eyer D, et al. Hidden under a Cauliflower-Like Skin Tumor: Chromoblastomycosis. Case Rep Infect Dis. 2013;2013:450153doi: 10.1155/2013/450153.
Jakopp, B., Stamm, B., Eyer, D., & Conen, A. (2013). Hidden under a Cauliflower-Like Skin Tumor: Chromoblastomycosis. Case reports in infectious diseases, 2013450153. https://doi.org/10.1155/2013/450153
Jakopp, B, et al. "Hidden under a Cauliflower-Like Skin Tumor: Chromoblastomycosis." Case reports in infectious diseases vol. 2013 (2013): 450153. doi: https://doi.org/10.1155/2013/450153
Jakopp B, Stamm B, Eyer D, Conen A. Hidden under a Cauliflower-Like Skin Tumor: Chromoblastomycosis. Case Rep Infect Dis. 2013;2013:450153. doi: 10.1155/2013/450153. Epub 2013 Jun 20. PMID: 23864969; PMCID: PMC3705846.
Copy Download .nbib Format: NLM
Share it on

Case Rep Infect Dis. 2013;2013:450153. doi: 10.1155/2013/450153. Epub 2013 Jun 20.

Hidden under a Cauliflower-Like Skin Tumor: Chromoblastomycosis.

Case reports in infectious diseases

B Jakopp, B Stamm, D Eyer, A Conen

Affiliations

  1. Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland ; Division of Infectious Diseases and Hospital Epidemiology, Kantonsspital Aarau, Tellstraße, 5000 Aarau, Switzerland.

PMID: 23864969 PMCID: PMC3705846 DOI: 10.1155/2013/450153

Abstract

We present the case of an 80-year-old patient with a recurrent hyperpigmented and cauliflower-like skin tumor on the stump of his left index finger. Despite suggestive clinical appearance for chromoblastomycosis the tumor was initially clinically and also histopathologically misdiagnosed as recurrent squamous cell carcinoma. Due to a cardiogenic shock, the patient died shortly after the diagnosis of chromoblastomycosis, before adequate treatment could be introduced. In non-tropical regions chromoblastomycosis is an uncommon chronic fungal infection with Fonsecaea pedrosoi being the most prevalent etiological agent. Mostly lower extremities are involved. It is not unusual that, clinically, in the absence of pigmentation, and, histopathologically, because of pseudoepitheliomatous hyperplasia of the epidermis, chromoblastomycosis is confounded with squamous cell cancer, and delays in diagnosis of one to 3 years are common. Therefore, a high grade of clinical suspicion and inclusion of chromoblastomycosis in the differential diagnosis of pigmented skin tumors are important to initiate adequate therapy. Our case is remarkable in many aspects. The localization on an upper extremity and the grade of invasiveness with involvement of bone are unusual; furthermore the lack of a tropical travel history emphasizes that the infection almost surely occurred in Switzerland.

References

  1. Dermatol Online J. 2008 Feb 28;14(2):9 - PubMed
  2. Mycoses. 2001;44(1-2):1-7 - PubMed
  3. Med Mycol. 2012 Jan;50(1):99-102 - PubMed
  4. J Am Acad Dermatol. 2001 Apr;44(4):585-92 - PubMed
  5. Clin Exp Dermatol. 2003 Sep;28(5):486-7 - PubMed
  6. Ann Pathol. 1993;13(2):123-7 - PubMed
  7. Mycopathologia. 2013 Jun;175(5-6):489-95 - PubMed
  8. Hautarzt. 1966 Nov;17(11):507-9 - PubMed
  9. Expert Opin Pharmacother. 2004 Feb;5(2):247-54 - PubMed
  10. Acta Derm Venereol. 2005;85(3):259-60 - PubMed
  11. Am J Orthop (Belle Mead NJ). 2012 Jul;41(7):328-31 - PubMed

Publication Types