Short Case 1/OCT

By
Dr.L.Shamithra Madhumali Sigera, 
Senior Registrar-Mycology

A 56 years old male presented with a 8​​ month history of a verrucoid cutaneous lesion on his right lower limb. Irrespective of on and off treatment, the lesion slowly progressed. There​​ is no regional lymphadenopathy.  ​​​​ He could not recall any prick injury or trauma to the site. He is a carpenter from Matara area(Figure 1 ).

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A biopsy ​​ was taken from the lesion and sent for mycological and histopathological studies.​​ 

The figure 2 shows​​ the direct microscopic view of the ​​ biopsy from the lesion ( 10% KOH).

  • What is the structure seen in the direct smear?C:\Users\User\Desktop\IMG_20171013_190724.jpg

The figure 3 shows the macroscopic view of the fungus  ​​​​ isolated from ​​ the culture.

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The figure 4 shows the microscopic view of the culture isolate.