Phaeohyphomycosis of the Eyelid: A Case Report

Phaeohyphomycosis is a fungal infection caused by dematiaceous fungi that presents as a superficial, cutaneous, subcutaneous, or systemic infection. Subcutaneous phaeohyphomycosis is the most common manifestation and presents as a subcutaneous nodule or cystic lesions and abscesses. It usually results from traumatic implantation of the saprophytic fungus from soil and vegetative matter; therefore, the commonest sites of infection are the extremities. Rarely, involvement of the eyelid is seen with extensive facial infection or as a part of multiple nodular lesions in the face, scalp, or other regions in cases of cutaneous/subcutaneous phaeohyphomycosis. Here, we report a case of subcutaneous phaeohyphomycosis presenting as a solitary nodular lesion of the eyelid with extension into the anterior orbit in a 35-year-old immunocompetent male. The patient was successfully treated with combined surgical and medical therapy.