Basidiobolomycosis (entomophthoramycosis) – Clinical manifestations, Management
- 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.
- Firm, painless nodular subcutaneous lesions spread locally.
- Lymphatic obstruction can result in elephantiasis.
- 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.