Subcutaneous fungal infectionVersion en ligne diag studies par Kate McFarland 1 Chromoblastomycosis 2 Mycetoma 3 Sporotrichosis 4 SC fungal infect 5 Mucous membrane fungus 6 Cryptococcus yeast infection Tropical Lesions follow puncture wounds, Progress to ulcers Itraconazole-oral (200-400 mg/d) 6-18 mo Localized trauma, Small papule to progression over years Look at grains within the infected tissue, Need ID to select treatment Worldwide- soil, sphagnum moss or decaying wood Puncture into skin- Follow up for relapse for years Hard, nontender, subcutaneous nodule Progresses to ulcers along lymphatics Chromoblastomycosis Mycetoma Sporotrichosis candidia yeast cryptococcus yeast Yeast with capsule Most common form of fungal meningitis- Immunocompromised Inhalation->progressive lung disease->meningitis Amphotericin B