Chromomycosis arising in a Tunisian man.

Chromomycosis is a chronic fungal infection quite prevalent in tropical countries. In such areas, it has a chronic evolutional course that may cause several problems. In our country, this disorder is quite rare. Herein we report the second case of Tunisian chromoblastomycosis. A-28-year-old man from north Tunisia (Bizerte) presented to our dermatology department with a skin lesion of 1 1/2 years duration. He was a butcher leaving in a rural area. The lesion gradually expanded to form a 3.5-cm violet-colored tumor with a verrucous surface. The tumor was located in the patient's left buttock. Scraping from the border of the lesion was negative. Cultures grew Fonsecaea pedrosoi. The lesion was surgically removed and the patient was treated with oral terbinafine (500 mg/day) for 2 months. There was no recurrence within a followup period of 3 years. Chromomycosis is a slowly progressive cutaneous mycosis caused by various dematiceous fungi prevalent in tropical countries. In Tunisia, this disease is rarely encountered. Dermatologists should be aware of this diagnosis. For limited lesions, we recommend excision followed by oral terbinafine.