Infectious Disease Compendium

Chromomycosis

Diagnosis

A chronic skin condition usually of feet after inoculation with fungi; most often in tropical areas. They vary from flat to nodular to warty with draining tracts; progress slowly, biopsy and culture to make the diagnosis.

Epidemiologic Risks

Percutaneous injury, often inadvertent.

Microbiology

Botryomycoses caespitosus, Cladosporium carrionii, Exophiala spinifera, Exophiala jeanselmei, Fonsecaea pedrosoi, Fonsecaea compacta, Phialophora verrucosa, Rhinocladiella aquaspersa.

Empiric Therapy

Probably itraconazole OR voriconazole for 6 to 12 months.

Pearls

Rants

ICD9 Codes (Soon to be supplanted by ICD10)

Chromomycosis 117.2.