Journal of Current Research in Scientific Medicine

CASE REPORT
Year
: 2019  |  Volume : 5  |  Issue : 2  |  Page : 114--117

Rhinoentomophthoromycosis: An uncommon but not rare fungal infection of the nose


George Thomas1, Jathin Sam Thekkethil1, Jency Maryia Koshy2, Sumin Mariam Thomas1 
1 Department of ENT, BCMCH, Thiruvalla, Kerala, India
2 Department of General Medicine, BCMCH, Thiruvalla, Kerala, India

Correspondence Address:
George Thomas
Department of ENT, BCMCH, Thiruvalla - 689 103, Kerala
India

Entomophthoromycosis is a group of fungal infections caused by fungus belonging to the order Entomophthorales. The two clinical forms of entomophthoromycosis identified are Basidiobolomycosis and Conidiobolomycosis. Rhino-facial conidiobolomycosis mainly affects the mucosa of the nares, nasal passages, nasal sinuses, nasopharynx, mouth and spreads to adjacent tissues causing disfigurement of face. Histological examinations and mycological cultures are the gold standard for confirmation of entomophthoromycosis. In our middle aged female patient, histopathology revealed fungal elements with broad aseptate hyphae surrounded by splendor hoeppli material and surrounding tissue showed dense inflammatory infiltrate with numerous eosinophils and foreign body granulomatous reaction. Treatment include both surgical and medical management, which includes systemic antifungals. Patient was initiated on itraconazole to which she responded. A significant reduction in the swelling and restoration of patency of the nostrils was noted on review after one month. Knowledge of rare fungal infections such as entomophthoromycosis is significant in clinical practice.


How to cite this article:
Thomas G, Thekkethil JS, Koshy JM, Thomas SM. Rhinoentomophthoromycosis: An uncommon but not rare fungal infection of the nose.J Curr Res Sci Med 2019;5:114-117


How to cite this URL:
Thomas G, Thekkethil JS, Koshy JM, Thomas SM. Rhinoentomophthoromycosis: An uncommon but not rare fungal infection of the nose. J Curr Res Sci Med [serial online] 2019 [cited 2020 Sep 19 ];5:114-117
Available from: http://www.jcrsmed.org/article.asp?issn=2455-3069;year=2019;volume=5;issue=2;spage=114;epage=117;aulast=Thomas;type=0