Successful Management of Rhinofacial Conidiobolus coronatus Infection with Itraconazole Monotherapy

Savitha Sharath Department of Dermatology, Venereology and Leprosy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, India;

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Abhinav Bansal Department of Dermatology, Venereology and Leprosy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, India;

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Surabhi Sinha Department of Dermatology, Venereology and Leprosy, Lady Harding Medical College, New Delhi, India;

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Arvind Ahuja Department of Pathology, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, India

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ABSTRACT.

There are no standard guidelines on the management of Conidiobolus infections, and many antifungals have been used, either alone or in combination. Relapses are common even after successful management. Although localized, they can result in severe facial disfigurement and may rarely cause disseminated entomophthoromycosis, which can have fatal complications. We present a case of biopsy-proven conidiobolomycosis in a young immunocompetent male patient with progressive unilateral rhinofacial swelling who was successfully treated with itraconazole monotherapy and showed no relapse after 1 year of therapy.

Author Notes

Current contact information: Savitha Sharath, Abhinav Bansal, and Arvind Ahuja, Department of Dermatology, Venereology and Leprosy, Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar Lohia Hospital, New Delhi, India, E-mails: savitharavivarma@gmail.com, abhinavbansal866@gmail.com, and drarvindahuja@gmail.com. Surabhi Sinha, Department of Dermatology, Venereology and Leprosy, Lady Hardinge Medical College, New Delhi, India, E-mail: surabhi2610@gmail.com.

Address correspondence to Surabhi Sinha, Department of Dermatology, Venereology and Leprosy, Lady Harding Medical College, A-504 Palam CGHS LTD., Plot 7, Sector 5, Dwarka, New Delhi 110075, India. E-mail: surabhi2310@gmail.com
  • 1.

    Prabhu RM, Patel R, 2004. Mucormycosis and entomophthoramycosis: A review of the clinical manifestations, diagnosis and treatment. Clin Microbiol Infect 10: 3147.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Chappity P, Hallur V, 2021. Subcutaneous fungal infection of the face. Lancet Infect Dis 21: 296.

  • 3.

    Varghese L, et al., 2021. Rhinofacial conidiobolomycosis: Clinical and microbiological characterisation and shift in the management of a rare disease. Mycoses 64: 882889.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Gupta P, Pilania RK, Kaur H, Rudramurthy SM, Soni R, Batra N, Verma R, Singh S, Chatterjee D, 2022. Pediatric case of conidiobolomycosis: A rare entity. Pediatr Dermatol 39: 149150.

  • 5.

    Nathan MD, Keller AP Jr, Lerner CJ, Davis JC, 1982. Entomophthorales infection of the maxillofacial region. Laryngoscope 92: 767769.

  • 6.

    Stavropoulou E, Coste AT, Beigelman-Aubry C, Letovanec I, Spertini O, Lovis A, Krueger T, Burger R, Bochud PY, Lamoth F, 2020. Conidiobolus pachyzygosporus invasive pulmonary infection in a patient with acute myeloid leukemia: Case report and review of the literature. BMC Infect Dis 20: 527.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Wüppenhorst N, Lee M-K, Rappold E, Kayser G, Beckervordersandforth J, de With K, Serr A, 2010. Rhino-orbitocerebral zygomycosis caused by Conidiobolus incongruus in an immunocompromised patient in Germany. J Clin Microbiol 48: 43224325.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Kimura M, Yaguchi T, Sutton DA, Fothergill AW, Thompson EH, Wickes BL, 2011. Disseminated human conidiobolomycosis due to Conidiobolus lamprauges. J Clin Microbiol 49: 752756.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Sigera LSM, Janappriya GHDC, Lakshan MTD, Pitigalage NJ, Jayasekera PI, Dayasena RP, Patabendige CGUA, Gunasekera CN, 2021. Rhinofacial conidiobolomycosis: A case series and review of the literature. Ear Nose Throat J 100 (Suppl ):835S841S.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Varshney S, Gupta P, Bist SS, Bhagat S, 2015. Conidiobolus coronatus granuloma of the right inferior turbinate: A rare presentation. Ear Nose Throat J 94: E32E35.

  • 11.

    Pujary P, Pujary K, Mahesh SG, Valiathan M, 2008. Conidiobolus coronata granuloma of left inferior turbinate: A rare presentation. J Laryngol Otol 122: e15.

  • 12.

    Purohit G, Sable M, Rudramurthy SM, Sarkar S, Parida P, Deshmukh V, Hallur V, 2021. A rare case of condiobolomycosis due to Conidiobolus coronatus presenting with dysphagia. Indian J Med Microbiol 39: 558560.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Thomas MM, Bai MS, Jayaprakash C, Jose P, Ebenezer R, 2006. Rhinoentomophthoromycosis. Indian J Dermatol Venereol 72: 296299.

  • 14.

    Chadaram S, Chappity P, Hallur V, Sharma P, Pradeep P, Parida P, 2022. Efficacy of two-phase treatment regimen for rhino-facial entomophthoromycosis: Our experience and review of literature. Oman Med J 37: e448.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Yu WN, Chen CJ, Chen CM, 2014. Pharyngeal entomophthoromycosis. J Chin Med Assoc 77: 337340.

  • 16.

    Deak L, Mudalagiriyappa S, Ballin A, Saxton D, Chakrabarti A, 2018. A rhinofacial Conidiobolus coronatus fungal infection presenting as an intranasal tumour. Sultan Qaboos Univ Med J 18: e549e552.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Guarro J, Aguilar C, Pujol I, 1999. In-vitro antifungal susceptibilities of Basidiobolus and Conidiobolus spp. strains. J Antimicrob Chemother 44: 557560.

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