First reported case of <i>Phoma multirostrata</i> from central India

Abstract

A 50-year-old male patient, resident of Gondia, Maharashtra, India, presented with chief complaints of swelling and raw areas over left foot for 3 months. Patient was apparently alright 3 months prior when he had a traumatic injury with a piece of wood which went across his whole foot, which was removed by patient himself, and then he visited a private hospital where he was given various medications, which gave him partial relief. After a few days, the patient developed a painful swelling over the left foot, up to the ankle, which was associated with difficulty in walking and local rise of temperature, and not with fever or other symptoms. Following this, after a month, the patient developed a single raised lesion, which progressed to involve the whole left foot over a period of 5 days. The lesions then burst spontaneously, which was associated with bloody discharge. For these complaints, the patient visited a nearby hospital, where he was admitted and given various medications, including tablet amoxycillinpotassium clavulanate 625 mg, tablet pantoprazole 40 mg, tablet paracetamol 500 mg and fusidic acid cream application, which gave him partial relief. After a few days, the patient developed a burning sensation over these lesions, for which he was then referred to GMC, Nagpur, Maharashtra, India, from same hospital.