A case of nasal chromoblastomycosis causing epistaxis.
BACKGROUND
Chromoblastomycosis is a chronic fungal infection of the skin and subcutaneous tissue that most commonly affects the feet and lower limbs. It is rare for this infection to occur on the face, and it is exceptionally rare for it to involve the nose and sinuses. This paper reports a rare case of nasal chromoblastomycosis in a 50-year-old Malaysian male.


METHODS
The patient, who was a rubber plantation worker in the southern state of Johor, presented to the ENT clinic with a history of epistaxis. He did not recall any history of injury to the nose. Nasal endoscopy showed a pale yellowish lesion at the inferior edge of the left middle turbinate. Histology revealed that this was a case of chromoblastomycosis.


CONCLUSIONS
Chromoblastomycosis of the nasal cavity is very rare and can be mistaken for other granulomatous conditions in the nose. It progresses very slowly over many years. Our patient was managed conservatively, as he was not keen on undergoing surgical intervention. Lesion size remained the same at five months' follow up, with no recurrence of epistaxis.
Department of Otorhinolaryngology,University of Malaya,Kuala Lumpur,Malaysia.
D
D
Penjor
Department of Otorhinolaryngology,University of Malaya,Kuala Lumpur,Malaysia.
A K
AK
Khizuan
Department of Otorhinolaryngology,University of Malaya,Kuala Lumpur,Malaysia.
A W
AW
Chong
Department of Pathology,University of Malaya,Kuala Lumpur,Malaysia.
K T
KT
Wong
D001706:Biopsy; D002862:Chromoblastomycosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D004724:Endoscopy / Q000379:methods; D004844:Epistaxis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000473:pathology*; D014420:Turbinates / Q000473:pathology