lobomycosis
[(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.
