Uncommon presentation of chromoblastomycosis.

Chromoblastomycosis is an uncommon subcutaneous mycosis seen in the tropical and subtropical regions that is caused by traumatic inoculation of a specific group of dematiaceous fungi through the skin. It is a therapeutic challenge due to its recalcitrant nature. Although there currently is no evidence-based treatment protocol, itraconazole and terbinafine are considered drugs of first choice. We present the case of a 25-year-old dairy farmer with slowly growing verrucous lesions on both cheeks of 20 years' duration. This case highlights the usefulness of amphotericin B in cases of chromoblastomycosis that do not respond to first-choice drugs.