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