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Invasive zygomycosis due to Conidiobolus incongruus

T J Walsh1, G Renshaw, J Andrews

  • 1Infectious Diseases Section, National Cancer Institute, Bethesda, Maryland 20892.

Insights

Deeply invasive fungal infections caused by Entomophthorales are rare. Conidiobolus incongruus, an uncommon pathogen, can cause severe lung and heart infections in immunocompromised individuals.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Medical Mycology

Background:

  • Zygomycetes fungi, particularly Mucorales, are common causes of invasive fungal infections.
  • Invasive infections due to Entomophthorales, such as Conidiobolus and Basidiobolus species, are rarely reported.

Observation:

  • A granulocytopenic patient developed pulmonary and pericardial zygomycosis caused by Conidiobolus incongruus.
  • This case highlights an uncommon but severe presentation of zygomycosis in an immunocompromised host.

Findings:

  • Conidiobolus incongruus demonstrated potential resistance to amphotericin B.
  • Diagnostic microbiological characteristics of C. incongruus were identified.
  • A review of previously reported cases of invasive zygomycosis due to Conidiobolus species was conducted.

Implications:

  • Conidiobolus incongruus is a significant, albeit rare, fungal pathogen in immunocompromised patients.
  • Understanding the antifungal susceptibility and diagnostic features of C. incongruus is crucial for effective treatment.
  • This study contributes to the knowledge of rare fungal infections and their management in clinical settings.

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