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Rhinofacial entomophthoramycosis; a case series and review of the literature
Juvady Leopairut1, Noppadol Larbcharoensub, Wichit Cheewaruangroj
1Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Abstract:
Rhinofacial entomophthoramycosis is an uncommon chronic mycotic disease caused by exposure to the organism Conidiobolus coronatus. The authors report a case series of 5 patients with rhinofacial entomophthoramycosis and review the literature. All patients had typical involvement of the rhinofacial area with formation of subcutaneous lesions causing a chronic granulomatous inflammatory response with tissue eosinophilia and Splendore-Hoeppli reaction. Diagnoses were made based on histopathologic examination in all cases and fungi were isolated and identified in one case. The clinicopathologic features and therapeutic management of rhinofacial entomophthoramycosis are described.
Insights
Rhinofacial entomophthoramycosis, a rare fungal infection, presents with chronic inflammation in the face. This case series details its clinicopathologic features and management.
Area of Science:
- Medical Mycology
- Dermatopathology
- Infectious Diseases
Background:
- Rhinofacial entomophthoramycosis is an uncommon chronic fungal infection.
- It is caused by exposure to the organism Conidiobolus coronatus.
Observation:
- A case series of 5 patients with rhinofacial entomophthoramycosis was studied.
- All patients exhibited typical rhinofacial involvement with subcutaneous lesions.
- A chronic granulomatous inflammatory response with eosinophilia and Splendore-Hoeppli reaction was noted.
Findings:
- Diagnosis was confirmed via histopathologic examination in all cases.
- Conidiobolus coronatus was isolated and identified in one patient.
- The study describes the clinicopathologic features of the disease.
Implications:
- Understanding the clinicopathologic features aids in diagnosing rhinofacial entomophthoramycosis.
- This review provides insights into the therapeutic management of this rare mycosis.
- Further research may improve treatment strategies for Conidiobolus coronatus infections.
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