Diabetic Foot Files

Forgotten Infection Friday : Chromoblastomycosis and the Diabetic Foot

May 29, 2026·19 min
Episode Description from the Publisher

This episode of Diabetic Foot Files covers chromoblastomycosis, a chronic pigmented fungal skin infection often seen in tropical, agricultural settings and commonly affecting the lower limbs. We discuss why patients with diabetes are at higher risk, the classic "copper penny" cells on pathology, common clinical features (verrucous, slow-growing lesions with black dots), diagnostic steps like biopsy and fungal stains, and treatment challenges including long-term antifungals, surgery, and wound optimization.

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