Verruconus gallopava is a melanised environmental saprophyte. Human infections of respiratory and central nervous systems occur primarily in immunocompromised subjects. Skin and subcutaneous infections are seen when disease involves multiple sites. Primary cutaneous phaeohyphomycosis is exceptional. We report a case of an immunocompetent female who had facial phaeohyphomycosis with V. galIopava following trauma. Lesions progressed despite antibiotic therapy. Diagnosis was established on fungal culture and she showed some favourable response to itraconazole 200 mg with terbnafine 250 mg at her second visit but was lost to follow up. No single therapeutic regimen is consistently efficacious in V. gallopava infections. Early laboratory confirmation is imperative to achieve success as outcome is variable even with combination of antifungal agents and surgery.

Keywords: Verruconus gallopava, phaeohyphomycosis, itraconazole.

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Dr Ghanshyam Verma, M.D.

Dermatology, Associate Professor, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

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