Landscaper’s Verrucous Lesions

A 53-year-old landscaper presents with chronic itchy skin lesions. Explore the diagnosis of a rare Fungal Infection and its appropriate management.

Itraconazole


A 53-year-old landscaper presented to the dermatology clinic with a 4-month history of red, raised, itchy skin lesions on his left lower back and buttock. Physical examination showed numerous verrucous nodules and plaques with overlying crusting and surrounding erythema on the left lower back and buttock. Grocott-Gomori methenamine silver staining showed broad-based budding organisms. Chest imaging showed no abnormalities. Which of the following is the best treatment?

What is the most likely diagnosis?

Clarithromycin and amikacin
Itraconazole
Penicillin
Rifampicin, isoniazid, pyrazinamide, and ethambutol
Trimethoprim-sulfamethoxazole

Blastomycosis, Dermatology, Fungal Infection, Itraconazole, Verrucous Nodules

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