Volume 26, Number 6—June 2020
Research
Endemic Chromoblastomycosis Caused Predominantly by Fonsecaea nubica, Madagascar1
Figure 1
![Recruitment of patients for study of chromoblastomycosis and prevalence by region, Madagascar, March 2013–June 2017. A) Recruitment sites (green triangles). Region of Sava: 1) Centre Hospitalier de Référence Régionale, Sambava District; 2) Centre Hospitalier de District and Hôpital Adventiste, Andapa District, Analamanga Region; 3) Centre de Santé de Base Alakamisy-Anjozorobe, Anjozorobe District; 4) Centre Hospitalier Universitaire Joseph Ravoahangy Befelatanana, Antananarivo District; 5) Centr](/eid/images/19-1498-F1.jpg)
Figure 1. Recruitment of patients for study of chromoblastomycosis and prevalence by region, Madagascar, March 2013–June 2017. A) Recruitment sites (green triangles). Region of Sava: 1) Centre Hospitalier de Référence Régionale, Sambava District; 2) Centre Hospitalier de District and Hôpital Adventiste, Andapa District, Analamanga Region; 3) Centre de Santé de Base Alakamisy-Anjozorobe, Anjozorobe District; 4) Centre Hospitalier Universitaire Joseph Ravoahangy Befelatanana, Antananarivo District; 5) Centre de Santé de Base, Andramasina District, Vatovavy Fitovinany Region; 6) Fondation Médicale Ampasimanjeva, Manakara District; Anosy Region; 7) Centre Médical Tolagnaro, Centre Hospitalier de Référence Régionale Tolagnaro and Hôpital Luthérien Manambaro, Tolagnaro District. B) Geographic origin of patients recruited. Regions from north to south: D, Diana; S, Sava; I, Itasy; A, Analamanga; V, Vakinankaratra; B, Bongolava; So, Sofia; Bo, Boeny; Be, Betsiboka; Me, Melaky; Al, Alaotra-Mangoro; At, Atsinanana, An, Analanjirofo; Am, Amoron’I Mania; H, Haute Matsiatra; Va, Vatovavy-Fitovinany; Ato, Atsimo-Atsinanana; Ih, Ihorombe; Mb, Menabe; Ats, Atsimo Andrefana; And, Androy; Ano, Anôsy. No. patients recruited; dark purple, >6; medium purple, 3–5; light purple, <3; white, missing (none). C) Geographic distribution of chromoblastomycosis cases and causative fungal agents. Prevalence is no. cases/100,000 persons: dark purple, >0.5; medium purple, 0.1–0.5; light purple, <0.1; white, missing (none). Causative agent distribution: yellow dots, Fonsecaea nubica; black dots, Cladophialophora carrionii; green dots, Fonsecaea sp.
1Preliminary results from this study were presented at the 20th International Society for Human and Animal Mycology Conference; June 29–July 5, 2018; Amsterdam, the Netherlands.