Rhinoentomophthoromycosis: Report of the First Two Cases Observed in Costa Rica (Central America), and Review of the Literature

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  • Department of Pathology, Department of Otolaryngology, and Clinical Laboratory, Hospital San Juan de Dios, and University of Costa Rica School of Medicine and Microbiology, San José, Costa Rica, C.A.

The first two cases of rhinoentomophthoromycosis to be recognized in Costa Rica are reported. The first patient was a 32-year-old Caucasian male from the Pacific Coast, and the second, a 17-year-old Negro male from the Atlantic Coast. Both cases showed the typical involvement of the nasofacial skin with the formation of subcutaneous nodules. One patient also showed left maxillary sinus involvement. Both patients were in general good health, without any associated disease. Cultures from the second patient, taken from the glabellar nodule, were positive for Conidiobolus coronatus. These two cases represent the first documentation of this uncommon mycosis in Central America.