Sethy Mitanjali, Sahu Satyajit, Sachan Suvigya
Department of Dermatology, Venereology and Leprosy, Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
Indian Dermatol Online J. 2021 Mar 2;12(2):307-311. doi: 10.4103/idoj.IDOJ_456_20. eCollection 2021 Mar-Apr.
Basidiobolomycosis or subcutaneous zygomycosis or subcutaneous phycomycosis is a chronic granulomatous infection of skin and subcutaneous tissue, caused by a saprophytic filamentous fungus, , clinically characterized by firm, painless subcutaneous swelling with smooth and rounded edges. Histopathological features include the peculiar Splendore-Hoeppli phenomenon. Culture on Sabouraud dextrose agar shows creamy white, heaped up, and furrowed colonies. This entity has been reported from tropical and subtropical regions of the world and the southern part of India. We report a case of Basidiobolomycosis in a seven-year-old girl from Eastern India, which was excised twice before presenting to us. We diagnosed the case as Basidiobolomycosis based on clinical features, histopathology, and culture findings, and treated it with itraconazole.
担子菌病或皮下接合菌病或皮下藻菌病是一种皮肤和皮下组织的慢性肉芽肿性感染,由一种腐生性丝状真菌引起,临床特征为边缘光滑圆润的坚实、无痛性皮下肿胀。组织病理学特征包括独特的斯普伦多雷 - 赫普利现象。在沙保弱葡萄糖琼脂培养基上培养显示为乳脂白色、堆积且有沟纹的菌落。世界上的热带和亚热带地区以及印度南部均有该病例的报道。我们报告一例来自印度东部的七岁女孩的担子菌病病例,该病例在转诊至我们处之前已接受过两次手术切除。我们根据临床特征、组织病理学和培养结果将该病例诊断为担子菌病,并用伊曲康唑进行治疗。