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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
CASE REPORT - MISCELLANEOUS Table of Contents   
Year : 2020  |  Volume : 24  |  Issue : 4  |  Page : 124-127
Nasofacial rhinoentomophthoramycosis: A report of two cases from Central India


1 Department of Microbiology, AIIMS Raipur, Raipur, Chhattisgarh, India
2 Department of ENT, Head and Neck Surgery, AIIMS Raipur, Raipur, Chhattisgarh, India

Correspondence Address:
Archana B Wankhade
Department of Microbiology, AIIMS Raipur, Raipur, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jomfp.JOMFP_356_19

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Rhinoentomophthoromycosis due to Conidiobolus coronatus is a rare, chronic, granulomatous disease, occurring mainly in tropical countries including India. We report two cases of rhinoentomophthoromycosis in an 18-year-old female and a farmer of 35 years residents of Chhattisgarh shifted from Madhya Pradesh and Orrisa. It was diagnosed by microscopy and isolation C. coronatus in culture. The patient presented with a swollen nose with obstruction that had progressed slowly over 1 year. His nasal swelling was bilateral, diffuse, mildly tender, erythematous, nonpitting, with mucosal crusting and hypertrophy of inferior turbinates but no regional lymphadenopathy. Culture of tissue from the nasal biopsy on sabouraud dextrose agar yielded multiple colonies of a mold with satellite smaller colonies at periphery. The isolate demonstrated the macroscopic and microscopic morphologic characteristics of C. coronatus. The patients were earlier treated with itraconazole or its combination with potassium iodide and the patients were treated successfully with amphotericin B.


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Journal of Oral and Maxillofacial Pathology | Published by Wolters Kluwer - Medknow
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