Basidiobolomycosis (entomophthoramycosis) – Clinical manifestations, Management

September 12, 2011 | By | Reply More

Basidiobolomycosis (entomophthoramycosis) – Clinical manifestations, Management

Clinical manifestations:

  • More common in children and adolescents than in adults.
  • Transmission probably by traumatic inoculation, possibly following the use of leaves for personal hygiene after bowel movements.
  • Common sites: buttocks, thighs, perineum, arms, legs and neck.
  • Disfiguring.
  • Firm, painless nodular subcutaneous lesions spread locally.
  • Lymphatic obstruction can result in elephantiasis.

Management :

  • Topical application of saturated potassium iodide solution is a possible treatment.
  • However, co-trimoxazole is sometimes more effective: two tablets, three times daily.
  • In either case, continue treatment for at least 1 month after resolution of the lesions.
  • Oral ketoconazole 400 mg/day is sometimes useful.

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Category: Medical, Pathology

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