[Conidiobolus coronatus infections revealed by a facial tumor].
BACKGROUND
Conidiobolomycoses (Conidiobolus coronatus fungal infections) are rare and potentially severe infections prevalent in the tropics. The disease starts in the facial sinus and evolves as a subcutaneous tumor on the mid face


METHODS
A 19-year-old female patient from Burkina Faso presented with an acquired nasal deformation having evolved for a few months, associated to bilateral nasal obstruction. The patient had no medical or surgical history. The pathological analysis of the surgical exeresis allowed diagnosing a C. coronatus infection.


CONCLUSIONS
The C. coronatus lives in decaying vegetation in hot and humid climates. It is a potential human pathogen that infects immunocompetent patients presenting with micro-wounds of the sinus and nasal mucosa. Hundred cases have been reported. The management is specific. The diagnosis should be discussed in case of distorting tumors of the midface.
Service de chirurgie maxillo-faciale, groupement hospitalier Nord, centre hospitalo-universitaire de Lyon, université Claude-Bernard Lyon-1, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France. Electronic address: jt125_2@hotmail.com.
J-T
JT
Bachelet
Service de chirurgie maxillo-faciale, groupement hospitalier Nord, centre hospitalo-universitaire de Lyon, université Claude-Bernard Lyon-1, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
G
G
Buiret
Service de chirurgie maxillo-faciale, groupement hospitalier Nord, centre hospitalo-universitaire de Lyon, université Claude-Bernard Lyon-1, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
M
M
Chevallier
Service de chirurgie maxillo-faciale, groupement hospitalier Nord, centre hospitalo-universitaire de Lyon, université Claude-Bernard Lyon-1, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
J-F
JF
Bergerot
Service de chirurgie maxillo-faciale, groupement hospitalier Nord, centre hospitalo-universitaire de Lyon, université Claude-Bernard Lyon-1, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
L
L
Ory
Service de chirurgie maxillo-faciale, groupement hospitalier Nord, centre hospitalo-universitaire de Lyon, université Claude-Bernard Lyon-1, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
A
A
Gleizal
D002050:Burkina Faso; D020092:Conidiobolus / Q000302:isolation & purification; D003937:Diagnosis, Differential; D005145:Face / Q000382:microbiology / Q000473:pathology; D005146:Facial Asymmetry / Q000382:microbiology; D005153:Facial Neoplasms / Q000175:diagnosis* / Q000382:microbiology; D005260:Female; D006801:Humans; D015508:Nasal Obstruction / Q000382:microbiology; D009666:Nose / Q000382:microbiology / Q000473:pathology; D055815:Young Adult; D020096:Zygomycosis / Q000150:complications / Q000175:diagnosis*
Acquired nose deformities; Conidiobolus; Déformation nasale acquise; Sinusites; Sinusitis