Slesak, GInthalad, SStrobel, MMarschal, MHall, MJRNewton, PN2020-09-082020-09-082011-01-122020-09-07Slesak, G., Inthalad, S., Strobel, M. et al. Chromoblastomycosis after a leech bite complicated by myiasis: a case report. BMC Infect Dis 11, 14 (2011). https://doi.org/10.1186/1471-2334-11-1410.1186/1471-2334-11-14http://hdl.handle.net/10141/622821Background Chromoblastomycosis is a chronic mycotic infection, most common in the tropics and subtropics, following traumatic fungal implantation. Case presentation A 72 year-old farmer was admitted to Luang Namtha Provincial Hospital, northern Laos, with a growth on the left lower leg which began 1 week after a forefoot leech bite 10 years previously. He presented with a cauliflower-like mass and plaque-like lesions on his lower leg/foot and cellulitis with a purulent tender swelling of his left heel. Twenty-two Chrysomya bezziana larvae were extracted from his heel. PCR of a biopsy of a left lower leg nodule demonstrated Fonsecaea pedrosoi, monophora, or F. nubica. He was successfully treated with long term terbinafin plus itraconazole pulse-therapy and local debridement. Conclusions Chromoblastomycosis is reported for the first time from Laos. It carries the danger of bacterial and myiasis superinfection. Leech bites may facilitate infection.enopenAccesshttps://creativecommons.org/licenses/by/2.0/Journal Article1471-2334BMC Infectious Diseases111Internal Transcribe SpacerItraconazoleLeprosyMyiasisChromoblastomycosis