Cutaneous blastomycosis presenting as non-healing ulcer and responding to oral ketoconazole.
Primary cutaneous blastomycosis is a rare infection of the skin that usually follows trauma and presents as a papule or nodule that ulcerates. Although this infection often heals spontaneously, we present a case of a nonhealing ulcer following surgical drainage of cellulitis. Blastomycosis was diagnosed by histopathological examination and the infection responded well to oral ketoconazole therapy.
Department of Dermatology, KS Hegde, Medical Academy, Deralakatte, Mangalore, India. drbali@vsnl.com
P
P
Balasaraswathy
Theerthanath
D000284:Administration, Oral; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001759:Blastomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D002481:Cellulitis / Q000601:surgery; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D004322:Drainage; D006801:Humans; D007654:Ketoconazole / Q000008:administration & dosage / Q000627:therapeutic use*; D007871:Leg Ulcer / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology
D000935:Antifungal Agents; D007654:Ketoconazole