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