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Subcutaneous phycomycosis mimics elephantiasis.
M Riganti1, P Charoenlarp, B Punpoowong
1Bangkok Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Thailand.
The Southeast Asian Journal of Tropical Medicine and Public Health
|December 1, 1987
Summary
A rare subcutaneous fungal infection, subcutaneous phycomycosis, mimicked elephantiasis in a young man. Successful treatment with cotrimoxazole led to a complete cure.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Subcutaneous phycomycosis is a rare fungal infection.
- It can present with symptoms mimicking other conditions like elephantiasis.
- Early and accurate diagnosis is crucial for effective management.
Observation:
- A 21-year-old military man presented with a year-long subcutaneous lesion on his right thigh.
- The lesion clinically resembled elephantiasis.
- Initial diagnosis suggested a parasitic subcutaneous tissue lesion.
Findings:
- Clinical and histological examination confirmed subcutaneous phycomycosis.
- The patient was treated with cotrimoxazole for one month.
- Complete cure was achieved with a follow-up of 4.5 months.
Implications:
- This case highlights the importance of considering fungal infections in the differential diagnosis of subcutaneous lesions.
- Cotrimoxazole can be an effective treatment for subcutaneous phycomycosis.
- Prompt diagnosis and treatment can lead to favorable outcomes, preventing complications.