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Definition

lobomycosis

(lōbō-mī-kō'sĭs )

[(Lacazia) loboi + mycosis]

[Jorge Lobo, Brazilian dermatologist]

A slowly growing granulomatous fungal infection of the cutaneous and subcutaneous tissues.

Incidence: The disease is usually contracted in tropical Central and South America.

Causes: The disease is caused by the fungus Lacazia loboi, the sole species of the genus Lacazia.

Symptoms and Signs: Nontender nodules resembling keloids, plaques, or warts form on the skin, typically in those who have lived or travelled overseas.

Diagnosis: Skin biopsies, examined with fungal stains, such as methenamine silver stain or calcofluor white stain, reveal short chains of spherical fungi connected by thin filaments.

Treatment: The lesions are removed surgically. Prolonged treatment with antifungal drugs may occasionally be used for extensive involvement of the skin.

Patient Care: Stand ard postoperative wound care is employed. SYN: keloidal blastomycosis; Lobo disease.