Cromomicosis: a propósito de 35 casos observados en el Hospital San Juan de Dios de Bogotá

The authors present a clinical analysis of 35 cases of chromomycosis, observed in the Hospital San Juan de Dios of Bogotá, during a period of 10 years. The frequency by age and sex, the distribution in the Colombian territory and the course of the disease at the time of consultation were registered. Reference was made as to the presumtive diagnosis at admission, clinical forms in the established period, sites of the lesions, value of the diagnostic test and therapeutic schemes used. All the patients were farmers and lived the majority of them 82.8 per cent in regions with temperatures above 18 ̜C. 97.1 per cent belong to the masculine sex the 5th decade was the most affected and no patient was younger then 20 years of age. The cause of the disease was always prolonged and some of the cases had a course of 30 years. The most common clinical forms was the wasty 80 per cent, and then the elephantisic and psoriosiform. Two associations were demostrated, one with M. Cannis an the other with S. chenkii. The disease was localized preferentially in the lower limb 85.6 per cent and only in one case was the hand affected. Of the diagnostic test used: direct examination, culture and biopsy, the first was the most useful. Then the culture and last the histopathology. In 81.8 per cent the causative fungus was the H. pedrosii and in the rest of the studies the H. compactum was isolate. In Colombia the H. pedrosii is the predominant specie. The amphotericin B was the most effective treatment in the extensive lesions while in the lesions of small extension, surgery and physical means was sufficient