Microbiology
A fungus. P. verrucosa, P. americana, Phialophora europaea. A black yeast.
Epidemiologic Risks
Found in tropical soil, inoculated into the feet of them what can't afford shoes. Also found in rotting wood, soil, wasp nests, and plant debris.
Syndromes
Chromomycosis, disseminated phaeohyphomycosis and mycetoma (PubMed).
Treatment
Azoles, terbinafine and Amphotericin B.
Also local heat (>40C).
Notes
The first report from 1915 (PubMed).
Last update: 05/05/18