We describe a case of rhinoentomophthoromycosis, also known as rhinophycomycosis, in an Indian man hailing from the tropical northern region of the country. The patient presented with subcutaneous swelling in the midline of the forehead, dorsum of the nose, adjoining cheek area (more on the right side), philtrum, and upper lip. Biopsy taken from the right nostril area revealed nasofacial phycomycosis. The patient was treated successfully with itraconazole, 200 mg twice daily, and potasssium iodide, 5 drops in fruit juice three times daily.
References
1.
PujaryP, PujaryK, MaheshSG, ValiathanM.Conidiobolus coronata granuloma of left inferior turbinate: A rare presentation. J Laryngol Otol2008;122(7):e15.
2.
MartinsonFD. Chronic phycomycosis of the upper respiratory tract: Rhinophycomycosis entomophthorae. Am J Trop Med Hyg1971;20(3):449–55.
3.
GugnaniHC. Entomophthoromycosis due to Conidiobolus. Eur J Epidemiol1982;8(3):391–6.
4.
WerthR, Sabwe-MubanguJ, GattiF, BastinJP. Second case of rhinoentomophthoromycosis caused by Entomophthora coronata observed in Republic of Zaire [in French]. Ann Soc Belg Med Trop1972;52(4):343–55.
5.
NathanMD, KellerAPJr., LernerCJ, DavisJC. Entomophthorales infection of the maxillofacial region. Laryngoscope1982;92(7 Pt 1):767–9.
6.
MendozaL, AlfaroAA. Equine subcutaneous zygomycosis in Costa Rica. Mykosen1985;28(11):545–9.
7.
RestrepoA.Treatment of tropical mycoses. J Am Acad Dermatol1994;31(3 Pt 2):S91–102.
8.
RibesJA, Vanover-SamsCL, BakerDJ. Zygomycetes in human disease. Clin Microbiol Rev2000;13(2):236–301.
9.
WalshTJ, RenshawG, AndrewsJ, Invasive zygomycosis due to Conidiobolus incongruus. Clin Infect Dis1994;19(3):423–30.
