Rhinoentomophthoromycosis.
A sixty year old patient presented with a slowly progressive swelling of the nose, of one year duration, suggesting a clinical diagnosis of subcutaneous zygomycosis. On investigation, the tissue fungal culture grew Conidiobolus coronatus, confirming the diagnosis as rhinoentomophthoromycosis. He was treated with a combination of oral fluconazole and oral potassium iodide for a total period of 5 months. His symptoms subsided completely. Serial CT scanning of paranasal sinuses showed the gradual resolution of the swelling, in response to the treatment. Early detection of the disease and combination therapy gave rapid and good results. This is the first case of its kind to be reported from Kerala, the southern state of India.
Thomas
Mathew M
MM
Department of Dermatology, Dr. S. M. C. S. I. Medical College and Hospital, Karakonam, Trivandrum, Kerala, India. mathewtm_2000@yahoo.com
Bai
Sumangala M
SM
Jayaprakash
Chitra
C
Jose
P
P
Ebenezer
Rejee
R
D020092:Conidiobolus / Q000302:isolation & purification; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy; D003937:Diagnosis, Differential; D020091:Entomophthorales / Q000302:isolation & purification; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000382:microbiology / Q000473:pathology; D010254:Paranasal Sinus Diseases / Q000175:diagnosis / Q000188:drug therapy; D011193:Potassium Iodide / Q000627:therapeutic use; D020096:Zygomycosis / Q000175:diagnosis* / Q000188:drug therapy
D011193:Potassium Iodide