Published: 2016-11-18

Chromoblastomycosis: a case report with literature review

Padmanaban K. Govindaraman, Marimuthu V., Senthil G.


Chromoblastomycosis is a chronic progressive cutaneous fungal infection caused by several naturally pigmented fungi that is frequently misdiagnosed clinically because of its polymorphic clinical presentation. We present a case of cutaneous chromoblastomycosis in a 52 year male in the right leg that was mimicking mycetoma/cutaneous tuberculosis clinically. Later, it was diagnosed as chromoblastomycosis in histopathological examination on identification of characteristic sclerotic/medlar bodies. We found combination of chemotherapy and wide local excision was effective in the management of localized chromoblastomycosis with favorable outcome. To conclude, chromoblastomycosis should be considered in the differential diagnosis of chronic cutaneous infections and one has to look for sclerotic bodies particularly in granulomatous lesions as it has specific treatment.


Chromoblastomycosis, Sclerotic bodies, Medlar bodies, Granuloma

Full Text:



Bhagawat PV, Tophakhane RS, Kudligi C, Noronha T. Multiple asymptomatic verrucous plaques over the legs. Indian J of Dermatol Venereol Leprol. 2010;76:86

Naha A, Rit K, Dey R. Chromoblastomycosis: A report of two cases from a tertiary care hospital of eastern India. Int J Health Allied Sci. 2013;2:200-2.

Medlar EM. A cutaneous disease caused by a new fungus Phialophora verrucosa with a study of the fungus. J Med Res. 1915;32:507-22.

Chavan SS, Kulkarni MH, Makannavar JH. Unstained and de stained sections in the diagnosis of chromoblastomycosis: A Clinico-pathological study. Indian J Pathol Microbiol. 2010;53(4):666-71.

Pradhan SV, Talwar OP, Ghosh A, Swami RM, Shiva Raj KC, Gupta S. Chromoblastomycosis in Nepal: A study of 13 cases. Indian J Dermatol Venereal Leprol. 2007;73:176-8.

Ramraje SN, Gokhale J, Gupta S. Cutaneous chromoblastomycosis. J case reports. 2013;3(2):2286-90.

Shanthala GB, Rudresh SM, Narathnamma T. Chromoblastomycosis: A case report. J Clin Diag Res. 2011;5(4):865-6.

Bajpai T, Nandedkar S, Bhatambare G, Gagrani N. Cutaneous chromoblastomycosis: A case report from central India. Int Med J Sifa Univ. 2015;2:59-61.

Pradeepkumar NS, Joseph NM. Chromo-blastomycosis caused by Cladophialophora carrionii in a child from India. J Infect Dev Ctries. 2011;5:556-60.