Rhinoentomophthoromycosis: a rare case report
S Agrawal1, P Meshram, M S Qazi
1Department of Microbiology, Government Medical College, Nagpur, Maharashtra, India.
Indian Journal of Medical Microbiology
|September 26, 2013
Summary
Entomophthoromycosis, a chronic fungal infection, can mimic nasal malignancy. Early diagnosis via microscopy and histopathology is crucial for effective antifungal treatment.
Area of Science:
- Mycology
- Infectious Diseases
- Pathology
Background:
- Entomophthoromycosis is a chronic granulomatous fungal infection with diverse clinical presentations, including subcutaneous, mucocutaneous, and visceral forms.
- Subcutaneous infections are commonly caused by entomophthoralean fungi such as Basidiobolus spp., Conidiobolus coronatus, or Conidiobolus incongruous.
Observation:
- A case of rhinoentomophthoromycosis is presented in an immunocompetent male patient.
- The infection involved the maxillary sinus and nasal cavity.
- The patient was initially misdiagnosed with nasal malignancy.
Findings:
- Microscopy and histopathology of aspirate samples were essential in confirming the diagnosis of entomophthoromycosis.
- The patient received antifungal therapy.
Implications:
- This case highlights the importance of considering fungal infections in the differential diagnosis of nasal masses.
- Accurate and timely diagnosis through pathological examination is critical for successful management.
- Antifungal therapy can be effective in treating rhinoentomophthoromycosis.
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