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Mohammed SA, Abdelsatir AA, Abdellatif M, Suliman SH, Elbasheer OMI, Abdalla AR, Widattalla AH, Tamimeldar SAM, Amin AA, Ahmed MH, Abdelsatir AM. Challenging Presentations of Seven Cases of Gastrointestinal Basidiobolomycosis in Sudan: Clinical Features, Histology, Imaging, and Recommendations. J Lab Physicians 2020; 12:281-284. [PMID: 33390679 PMCID: PMC7773445 DOI: 10.1055/s-0040-1721149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Basidiobolomycosis is a fungal infection caused by Basidiobolus ranarum which affects the skin and subcutaneous tissue and rarely the gastrointestinal tract. We report seven cases of gastrointestinal basidiobolomycosis with interesting clinical, radiological, and histological presentations. To our knowledge, this is the first case series of abdominal basidiobolomycosis to be reported from Sudan.
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Affiliation(s)
- Sawsan A Mohammed
- Department of Pathology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Mohamed Abdellatif
- Department of Pathology, Faculty of Medicine, Omdurman Islamic University, Khartoum, Sudan
| | | | | | | | - Abubakr H Widattalla
- Department of Surgery, Faculty of Medicine, University of Khartoum, Khartoum, Sudan
| | | | - Abdelgadir A Amin
- Pathology Department, Sudan Medical Specialization Board, Khartoum, Sudan
| | - Mohamed H Ahmed
- Department of Medicine and HIV Metabolic Clinic, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, United Kingdom
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2
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Hung TY, Taylor B, Lim A, Baird R, Francis JR, Lynar S. Skin and soft tissue infection caused by Basidiobolus spp. in Australia. IDCases 2020; 20:e00731. [PMID: 32215254 PMCID: PMC7090362 DOI: 10.1016/j.idcr.2020.e00731] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 02/23/2020] [Accepted: 02/23/2020] [Indexed: 11/30/2022] Open
Abstract
Fungi from the order Entomophthorales are rare but well recognized cause of tropical fungal infection, typically causing subcutaneous truncal or limb lesions in immunocompetent hosts. They may also mimic malignancy by causing intrabdominal mass, sometimes resulting in obstructive gastrointestinal or renal presentations. A 4-year-old female presented with a progressively growing abdominal wall lesion over several months, developing into acute inflammation of the abdominal wall with systemic symptoms. She underwent surgical debridement and fungal culture of subcutaneous tissue was positive for Basidiobolus spp with characteristic histopathological findings. Treatment with voriconazole followed by itraconazole over a total duration of 6 weeks led to complete resolution. Basidiobolus spp is an unusual cause of infection with characteristic mycological and histopathological findings. Infection can present in a number of ways ranging from a slow-growing mass in the subcutaneous soft tissue to an invasive mass in the gastrointestinal tract. Identification of its unique beak-like zygospore and Splendore-Hoeppli phenomenon on histopathological specimens can be pathognomonic and could provide the key to early diagnosis. Review of the literature found that timely diagnosis and commencement of antifungal therapy can be curative with or without surgical treatment. Considering the rarity of this tropical infection, this case provides the opportunity for revision of the typical presentations and diagnostic findings of Basidiobolus spp. With early recognition and suitable treatment, outcomes are generally favorable.
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Affiliation(s)
- Te-Yu Hung
- Department of Microbiology, Territory Pathology, Royal Darwin Hospital, 105 Rocklands Drive Tiwi, Northern Territory, 0810, Australia.,Department of Paediatrics, Royal Darwin Hospital, Northern Territory, 0810, Australia
| | - Brooke Taylor
- Department of Microbiology, Territory Pathology, Royal Darwin Hospital, 105 Rocklands Drive Tiwi, Northern Territory, 0810, Australia
| | - Aijye Lim
- Department of Anatomical Pathology, Territory Pathology, Royal Darwin Hospital, Tiwi, Northern Territory, 0810, Australia
| | - Robert Baird
- Department of Microbiology, Territory Pathology, Royal Darwin Hospital, 105 Rocklands Drive Tiwi, Northern Territory, 0810, Australia
| | - Joshua R Francis
- Department of Paediatrics, Royal Darwin Hospital, Northern Territory, 0810, Australia.,Menzies School of Health Research, Charles Darwin University, Northern Territory, 0810, Australia
| | - Sarah Lynar
- Department of Infectious Diseases, Royal Darwin Hospital, Northern Territory, 0810, Australia.,Menzies School of Health Research, Charles Darwin University, Northern Territory, 0810, Australia
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3
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Sharma A, Saxena R, Sinha A, Singh S, Yadav T. Disseminated Gastrointestinal Basidiobolomycosis (GIB) in an infant from Western India. Med Mycol Case Rep 2019; 26:38-41. [PMID: 31667059 PMCID: PMC6812021 DOI: 10.1016/j.mmcr.2019.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2019] [Revised: 08/23/2019] [Accepted: 10/02/2019] [Indexed: 12/02/2022] Open
Abstract
Basidiobolomycosis is an infection due to the fungus Basidiobolus ranarum, an environmental saprophyte found worldwide. We are reporting youngest case of Gastrointestinal Basidiobolomycosis (GIB) in a two month old boy from India. He presented with a mass in right iliac fossa with the signs of intestinal obstruction. Histopathology of the lesion showed broad aseptate hyphae. It disseminated to kidneys. Aspirate culture from nephrostomy yielded growth of B. ranarum. It is important to differentiate it from mucormycosis to institute right therapy. Culture remains the gold standard for its diagnosis.
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Affiliation(s)
- Anuradha Sharma
- Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India
| | - Rahul Saxena
- Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India
| | - Arvind Sinha
- Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India
| | - Shambhavi Singh
- Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India
| | - Taruna Yadav
- Department of Radiodiagnosis, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India
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Patro P, Das P, Sachdev D, Borkar N, Ganguly S, Hussain N. An instance of excellent response of subcutaneous zygomycosis to itraconazole monotherapy. Med Mycol Case Rep 2019; 24:13-17. [PMID: 30859059 PMCID: PMC6395828 DOI: 10.1016/j.mmcr.2019.02.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 01/04/2019] [Accepted: 02/08/2019] [Indexed: 11/26/2022] Open
Abstract
Subcutaneous zygomycosis is a rare fungal infection caused by Basidiobolus ranarum. This entity is usually endemic in South India and only limited numbers of cases have been reported from central India. We report a case of 4-year-old male child from Chhattisgarh, who presented with a painless, non-tender, large, subcutaneous swelling of 4 months duration on the right upper arm, which was initially misdiagnosed as benign spindle cell tumor and advised surgical resection. But the fungal culture of the affected tissue grown Basidiobolus ranarum and the child responded very well to itraconazole therapy only.
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Affiliation(s)
- Priyadarshini Patro
- Department of Microbiology, All India Institute of Medical Sciences, Raipur, 492099, India
| | - Padma Das
- Department of Microbiology, All India Institute of Medical Sciences, Raipur, 492099, India
| | - Divya Sachdev
- Department of Dermatology and Venerology, All India Institute of Medical Sciences, Raipur, 492099, India
| | - Nitinkumar Borkar
- Department of Paediatric Surgery, All India Institute of Medical Sciences, Raipur, 492099, India
| | - Satyaki Ganguly
- Department of Dermatology and Venerology, All India Institute of Medical Sciences, Raipur, 492099, India
| | - Nighat Hussain
- Department of Pathology, All India Institute of Medical Sciences, Raipur, 492099, India
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An unusual case of gastrointestinal basidiobolomycosis mimicking colon cancer; literature and review. J Mycol Med 2018; 29:75-79. [PMID: 30553627 DOI: 10.1016/j.mycmed.2018.11.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Revised: 11/14/2018] [Accepted: 11/30/2018] [Indexed: 11/22/2022]
Abstract
Gastrointestinal basidiobolomycosis (GIB), a rare fungal infection associated with high mortality, has been reported worldwide mainly from tropical and subtropical regions of Asia, USA, and Latin America. The clinical manifestations are highly diverse and non-specific depending on the underlying disease, but fever, abdominal pain, weight loss, diarrhea, constipation and chills have been observed. There are no prominent risk factors for GIB but climatic conditions and life style are related to this infection in arid and semi-arid regions. Therefore timely diagnosis and early treatment is a challenge. Herein, we present an unusual case of gastrointestinal basidiobolomycosis in a 54-year-old male, initially misdiagnosed as colon cancer. After follow-up, no evidence of relapse and the patient was successfully cured by liposomal amphotericin B. In addition, the differential diagnosis and histopathological findings are discussed with a review of the literature.
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Tananuvat N, Supalaset S, Niparugs M, Chongkae S, Vanittanakom N. Ocular Basidiobolomycosis: A Case Report. Case Rep Ophthalmol 2018; 9:315-321. [PMID: 30022946 PMCID: PMC6047539 DOI: 10.1159/000489695] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 04/24/2018] [Indexed: 11/19/2022] Open
Abstract
Background Ocular basidiobolomycosis is an unusual infection caused by fungus of the order Entomophthorales. This fungus has been previously reported as a common cause of skin, subcutaneous, and gastrointestinal tract infection. The fungus isolation and its typical characteristics are clues for diagnosis of this uncommon pathogen. Case Report A 47-year-old male patient with nodular scleritis in the left eye after an eye injury from sawdust was treated as bacterial scleritis. The lesion improved with early surgical drainage and antibacterial therapy; then, he was discharged from the hospital. Thereafter, the patient was re-admitted due to progression of infectious scleritis with keratitis and orbital cellulitis. Surgical abscess drainage was performed again. The microbiological study demonstrated Basidiobolus ranarum. The patient was treated with topical ketoconazole, subconjunctival fluconazole injection, and oral itraconazole with partial response to the treatment. However, the patient eventually denied any further treatment and did not return for follow-up. Conclusions B. ranarum is a rare pathogen of ocular infection in which a definite diagnosis requires isolation of the causative organism. Delay in diagnosis and appropriate treatment can lead to extension of the infection and poor outcomes.
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Affiliation(s)
- Napaporn Tananuvat
- Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Sumet Supalaset
- Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Muanploy Niparugs
- Department of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Siriporn Chongkae
- Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
| | - Nongnuch Vanittanakom
- Department of Microbiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
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Krishnamurthy S, Singh R, Chandrasekaran V, Mathiyazhagan G, Chidambaram M, Deepak Barathi S, Mahadevan S. Basidiobolomycosis complicated by hydronephrosis and a perinephric abscess presenting as a hypertensive emergency in a 7-year-old boy. Paediatr Int Child Health 2018; 38:146-149. [PMID: 28112037 DOI: 10.1080/20469047.2016.1162392] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
A 7-year-old boy presented with a chronic, indurated, tender left thigh swelling in association with a hypertensive emergency. He had a bilateral moderate degree of hydronephrosis and a left perinephric abscess, and MRI features of posterior reversible encephalopathy syndrome. Histopathological examination of the biopsy specimen demonstrated eosinophilic fasciitis with filamentous fungi. Basidiobolus ranarum was isolated from the culture. The fungus was also isolated from a perinephric fluid aspirate. Computerised tomography of the abdomen demonstrated features consistent with fungal invasion of the pelvic floor muscles and urinary bladder, leading to bilateral hydronephrosis. He required multiple antihypertensive drug therapy and was treated with intravenous amphotericin B, oral itraconazole and potassium iodide. Antihypertensive agents were discontinued after 2 weeks of antifungal therapy. At 6-months follow-up, the hydronephrosis had resolved completely. Perinephric abscess associated with basidiobolomycosis has not been reported previously.
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Affiliation(s)
- Sriram Krishnamurthy
- a Department of Pediatrics , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry 605006 , India
| | - Rakesh Singh
- b Department of Microbiology , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry , India
| | - Venkatesh Chandrasekaran
- a Department of Pediatrics , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry 605006 , India
| | - Gopinathan Mathiyazhagan
- a Department of Pediatrics , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry 605006 , India
| | - Meenachi Chidambaram
- b Department of Microbiology , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry , India
| | - S Deepak Barathi
- c Department of Radiodiagnosis , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry , India
| | - Subramanian Mahadevan
- a Department of Pediatrics , Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) , Pondicherry 605006 , India
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Basidiobolomycosis Simulating a Mycobacterium ulcerans Infection in a Togolese Rural Child. Case Rep Dermatol Med 2017; 2017:6905783. [PMID: 29181205 PMCID: PMC5664196 DOI: 10.1155/2017/6905783] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 09/26/2017] [Indexed: 11/18/2022] Open
Abstract
Background Basidiobolomycosis is a deep mycosis which preferentially affects rural young people in tropical countries. We report an atypical case, with multiple ulcers, simulating a Buruli ulcer. Case Report A 5-year-old boy, living in a rural area, was seen for ulcers on the buttocks and at the back and right flank that had been in progress for 4 months. On examination, we found an infiltrated plaque with sharp edges, little painful, located on the buttocks, back, and the right flank. On this plaque, there were multiple ulcers with polycyclic contours and fibrinous bottom. There were inguinal inflammatory lymph nodes. The patient had an altered general condition. Examination of other organs was normal. The diagnosis of Buruli ulcer was evoked first; the search for Mycobacterium ulcerans by polymerase chain reaction was negative. Histology test performed revealed hypodermic granulomatous inflammation with predominant macrophage and eosinophils. The mycological culture was not done. The child was treated successfully with ketoconazole (10 mg/kg/day) during eight weeks. Discussion Our observation shows great clinical and epidemiological similarities between basidiobolomycosis and Buruli ulcer. It confirms the efficacy of ketoconazole in severe basidiobolomycosis infection with alteration of general condition. Histopathology is very important for differential diagnosis between these two diseases.
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Abstract
Basidiobolomycosis is an uncommon cutaneous zygomycete infection typically seen in immunocompetent individuals. Diagnosis can be made by biopsy and fungal culture of the lesion. Treatment with Potassium iodide and co-trimoxazole is simple and effective. Early and accurate diagnosis of basidiobolomycosis is essential to avoid dissemination and mortality. We present a case with basidiobolomycosis resembling Fournier's gangrene.
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Affiliation(s)
- Roshni Julia Rajan
- Department of Pediatrics, Christian Medical College, Vellore 632004, India
| | - Promila Mohanraj
- Department of Microbiology, Christian Medical College, Vellore 632004, India
| | - Winsley Rose
- Department of Pediatrics, Christian Medical College, Vellore 632004, India
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Atadokpédé F, Gnossikè J, Adégbidi H, Dégboé B, Sissinto-Savi de Tovè Y, Adéyé A, Koudoukpo C, Chauty A, Chabasse D, Saint-André JP, Dieng MT, Koeppel MC, Yedomon HG, do-Ango-Padonou F. Cutaneous basidiobolomycosis: Seven cases in southern Benin. Ann Dermatol Venereol 2017; 144:250-254. [PMID: 28242097 DOI: 10.1016/j.annder.2016.10.017] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2016] [Revised: 08/07/2016] [Accepted: 10/28/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND Cutaneous basidiobolomycosis is the most common form of entomophthoramycosis. Herein we report seven cases of cutaneous basidiobolomycosis. PATIENTS AND METHODS A retrospective observational study was conducted at the Buruli ulcer treatment centre in Pobè and at the national teaching hospital in Cotonou from 2010 to 2015. RESULTS Seven cases of cutaneous basidiobolomycosis were diagnosed. The mean patient age was 9.53 years. There were 4 female and 3 male patients, all from southeast Benin. Clinically, the disease presented in all cases as a hard, well-defined, subcutaneous plaque with little inflammation, and which could easily be lifted from the deep structures but remained attached to the surface structures. The overlying skin was hyperpigmented. Plaques were localized to the buttocks or thighs. All patients had inflammatory anaemia with an accelerated erythrocyte sedimentation rate (30 to 70mm over the first hour), and a low haemoglobin count (8.7 to 11.4g/dL). Blood hypereosinophilia (650 to 3784elements/mm3) was present in six of the seven subjects. Histopathology (performed for 5 of the 7 subjects) showed granulomatous lesions with foreign-body giant cells, and inflammatory cells, with occasional eosinophils surrounding fungal hyphae (Splendore-Hoeppli phenomenon). Mycological analysis revealed Basidiobolus ranarum in three cases. The patients were treated with ketoconazole (5/7) and itraconazole (2/7), with good outcomes after 10 to 24 weeks of therapy. DISCUSSION Cutaneous basidiobolomycosis is uncommon in southern Benin, with only seven cases being diagnosed over 6 years. The diagnosis of cutaneous basidiobolomycosis is a challenge in the field in Benin due to the non-specific clinical presentation, the lack of technical resources, and the existence of numerous differential diagnoses. CONCLUSION Cutaneous basidiobolomycosis is an uncommon fungal infection in southern Benin chiefly affecting children.
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Affiliation(s)
- F Atadokpédé
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin.
| | - J Gnossikè
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | - H Adégbidi
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | - B Dégboé
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | | | - A Adéyé
- Dermatology department, faculté de médecine de Parakou, bénin et centre de dépistage et de traitement de l'ulcère de buruli, Pobè, Benin
| | - C Koudoukpo
- Dermatology department, faculté de médecine de Parakou, bénin et centre de dépistage et de traitement de l'ulcère de buruli, Pobè, Benin
| | - A Chauty
- Dermatology department, faculté de médecine de Parakou, bénin et centre de dépistage et de traitement de l'ulcère de buruli, Pobè, Benin
| | - D Chabasse
- Parasitology-mycology department, CHU d'Angers, 4, rue Larrey, 49100 Angers, France
| | - J-P Saint-André
- Histopathology department, CHU d'Angers, 4, rue Larrey, 49100 Angers, France
| | - M-T Dieng
- Dermatology department, hôpital Aristide-le-Dantec, Dakar, Senegal
| | - M-C Koeppel
- Dermatology department, hôpital Nord, chemin des Bourrely, 13015 Marseille, France
| | - H-G Yedomon
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
| | - F do-Ango-Padonou
- Dermatology department, CNHU-HKM, faculté des sciences de la santé, BP 186, Cotonou, Benin
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Mendiratta V, Karmakar S, Jain A, Jabeen M. Severe cutaneous zygomycosis due to Basidiobolus ranarum in a young infant. Pediatr Dermatol 2012; 29:121-3. [PMID: 21906146 DOI: 10.1111/j.1525-1470.2011.01476.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Basidiobolomycosis classically presents as a noninflammatory, nonulcerated, nontender woody indurated mass without much contiguous spread. It is almost always seen in an immunocompetent host younger than 20. We report a case of a 9-month-old baby with a rapidly expanding malignant presentation of basidiobolomycosis with nonhealing ulcers and spread to underlying muscles, mimicking lymphoma. She responded poorly to itraconazole alone but showed dramatic improvement with a combination therapy of itraconazole and potassium iodide. The case also highlights an early acquisition of the infection at 1 month of age.
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Affiliation(s)
- Vibhu Mendiratta
- Department of Dermatology, Lady Hardinge Medical College, Delhi, India.
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Basidiobolomycosis of the colon masquerading as stenotic colon cancer. Case Rep Surg 2011; 2011:685460. [PMID: 22606589 PMCID: PMC3350237 DOI: 10.1155/2011/685460] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2011] [Accepted: 08/08/2011] [Indexed: 11/18/2022] Open
Abstract
Basidiobolus ranarum
is a widespread saprophyte fungus with pathogenic potential. It affects mainly the subcutaneous tissues of the trunk and limbs. Relatively recently, occasional reports of gastrointestinal basidiobolomycosis appeared in the literature. Due to the rarity of the condition and the nonspecific presenting features, the correct diagnosis is usually hard to reach. In this paper, we describe the clinical course of an otherwise healthy female, who presented with a colonic mass. She received subtotal colectomy followed by oral itraconazole, with successful outcome.
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El-Shabrawi MHF, Kamal NM, Jouini R, Al-Harbi A, Voigt K, Al-Malki T. Gastrointestinal basidiobolomycosis: an emerging fungal infection causing bowel perforation in a child. J Med Microbiol 2011; 60:1395-1402. [PMID: 21566088 DOI: 10.1099/jmm.0.028613-0] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
Affiliation(s)
| | - Naglaa Mohamed Kamal
- Paediatric Department, Al Hada Armed Forces Hospital, Taif, Saudi Arabia
- Paediatric Hepatology Unit, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - Riyadh Jouini
- Paediatric Surgery, Al Hada Armed Forces Hospital, Taif, Saudi Arabia
| | - Abdullah Al-Harbi
- Paediatric Department, Al Hada Armed Forces Hospital, Taif, Saudi Arabia
| | - Kerstin Voigt
- University of Jena, School of Biology and Pharmacy, Institute of Microbiology, Jena, Germany
- Jena Microbial Resource Collection, Leibniz Institute for Natural Product Research and Infection Biology, Jena, Germany
| | - Talal Al-Malki
- Quality and Development, Taif University, Taif, Saudi Arabia
- Paediatric Surgery, Al Hada Armed Forces Hospital, Taif, Saudi Arabia
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