Chromomycosis: a pigmented fungal infection mimicking squamous cell carcinoma of skin

ABSTRACT

A 20 year old male, resident of rural area of Sindh province presented with fungating growth over bridge of the nose. The patient has a similar lesion on medial side of left knee since one year. The patient also had an identical lesion on lateral side of right thigh excised sometime back and histopathology of the lesion revealed foreign body granulomatous reaction. On examination the growth over bridge of the nose was fungating cauliflower like and measured 5x5 cms. The lesion on me dial side of left knee was similar in appearance and measured 3x3 cms. Both the lesions were non-tender, ulcerated, covered by purulent exudate and margins were well defined. Pus was sent for culture and sensitivity which grew staph. Aureus. Multiple biopsies from both nasal and left knee growths were taken and sent for histopathologic examination