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Year : 2009  |  Volume : 27  |  Issue : 2  |  Page : 156-158

Unusual presentation of entomophthoromycosis

1 Department of ENT, Christian Medical College, Vellore-632 004, Tamil Nadu, India
2 Department of Microbiology, Christian Medical College, Vellore-632 004, Tamil Nadu, India

Correspondence Address:
R C Michael
Department of ENT, Christian Medical College, Vellore-632 004, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0255-0857.49432

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Rhinoentomophthoromycosis caused by Conidiobolus sp commonly presents as a chronic granulomatous lesion that affects the rhinofacial subcutaneous tissue. We present an 18-year-old girl who presented with progressive bilateral proptosis and loss of vision since 2 weeks. Biopsy and fungal cultures confirmed diagnosis of Conidiobolus sp infection of the paranasal sinuses bilaterally with orbital extension and blindness. The clinical picture was complicated by the presence of sputum-positive cavitatory pulmonary tuberculosis, which was diagnosed at the same time. To our knowledge, this is the first such case to be reported from India. We also discuss the management of entomophthoromycosis. Despite many reports of success, there remains no consensus on the treatment of Conidiobolus infections of the nose and the paranasal sinuses with antifungal agents.


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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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