title: Severe cutaneous zygomycosis due to Basidiobolus ranarum in a young infant.
abstract: Basidiobolomycosis classically presents as a noninflammatory, nonulcerated, nontender woody indurated mass without much contiguous spread. It is almost always seen in an immunocompetent host younger than 20. We report a case of a 9-month-old baby with a rapidly expanding malignant presentation of basidiobolomycosis with nonhealing ulcers and spread to underlying muscles, mimicking lymphoma. She responded poorly to itraconazole alone but showed dramatic improvement with a combination therapy of itraconazole and potassium iodide. The case also highlights an early acquisition of the infection at 1 month of age.
authors: Department of Dermatology, Lady Hardinge Medical College, Delhi, India. vibhumendiratta@rediffmail.com
authors: Vibhu
authors: V
authors: Mendiratta
authors: Somenath
authors: S
authors: Karmakar
authors: Arpita
authors: A
authors: Jain
authors: Masarat
authors: M
authors: Jabeen
mesh_terms: D000284:Administration, Oral; D000935:Antifungal Agents / Q000008:administration & dosage; D001706:Biopsy; D020091:Entomophthorales / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D007223:Infant; D017964:Itraconazole / Q000008:administration & dosage*; D012720:Severity of Illness Index; D020096:Zygomycosis / Q000188:drug therapy* / Q000473:pathology*
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole