Annals of Tropical Medicine and Public Health
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CASE REPORT
Year : 2013  |  Volume : 6  |  Issue : 3  |  Page : 331-334

Rhinoentomophthoromycosis caused by Conidiobolous coronatus in a diabetic patient: the importance of species identification


1 Department of Microbiology, Amrita Institute of Medical Sciences, Ponekara, Kochi, Kerala, India
2 Department of Otorhinolaryngology, Amrita Institute of Medical Sciences, Ponekara, Kochi, Kerala, India
3 Department of Pathology, Amrita Institute of Medical Sciences, Ponekara, Kochi, Kerala, India

Correspondence Address:
Anil Kumar
Department of Microbiology, Amrita Institute of Medical Sciences, Ponekkara, Kochi, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1755-6783.120999

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Rhinoentomopthoromycosis usually presents as a chronic inflammatory or granulomatous disease characterized by swelling of nose, paranasal sinuses, and mouth. We present a case of a 43-year-old male who presented with right nasal blockade and paranasal sinus pain since two months. The clinical picture was further complicated by the fact that neither the patient could tolerate plain amphoterecin B nor could he afford its liposomal derivative. Species identification enabled us to successfully treat the patient with cheaper and less toxic alternative like itraconazole and potassium iodide. Our case highlights the importance of species identification in making appropriate choice of therapy in resource poor settings in developing countries.


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