A physician in Colombia recently shared a patient case on SERMO concerning a patient who initially presented with four ulcerous wounds caused by a piece of wood. The patient was diagnosed with a fungal infection and started on an oral antifungal for 4 weeks.
At the end of treatment transient tissue formation granulation was evident, along with the development of new erosive lesions, and accompanied by weight loss, fever and chills.
What is responsible for the deterioration in the patient’s condition?
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