Case report of subcutaneous entomophthoromycosis with retroperitoneal invasion.
The authors describe a case of entomophthoromycosis in a previously healthy patient, who presented with an abscess in the right buttock. After surgical drainage it evolved into a retroperitoneal tumor. The patient improved clinically after resection of the mass and ketoconazole treatment. The histopathological analysis showed the Splendore-Hoeppli phenomenon, suggesting Basidiobolus ranarum infection, a zygomycosis generally restricted to the subcutaneous tissue, with rare gastrointestinal involvement.
Vianna
Leonora Maciel de Souza
LM
Centro de Anatomia Patológica, Hospital Universitário de Brasília, Universidade de Brasília, Via L2 Norte, SGAN 604/605, Módulo C, 70840-050 Brasília, DF, Brazil. caphub@unb.br
de Lacerda
Marcus Vinícius Guimarães
MV
de Moraes
Mário Augusto Pinto
MA
D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D020091:Entomophthorales / Q000302:isolation & purification*; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D012187:Retroperitoneal Space / Q000382:microbiology* / Q000473:pathology; D020096:Zygomycosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*
D000935:Antifungal Agents; D007654:Ketoconazole