Indian Journal of Paediatric Dermatology (Jan 2022)

Entomophthoromycosis in a young child postcleft lip surgery: A rare case with diagnostic dilemma

  • Shreya Rajashekar,
  • Sahana M Srinivas,
  • Sanjay K Shivappa,
  • Rajalakshmi Tirumale,
  • Bhavana Jagannatha

DOI
https://doi.org/10.4103/ijpd.ijpd_44_21
Journal volume & issue
Vol. 23, no. 1
pp. 64 – 66

Abstract

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Entomophthoromycosis is a rare yet potentially life-threatening, chronic deep fungal infection affecting immunocompetent host, primarily children, and young adults. The infection commonly affects trauma-prone sites mainly extremities and trunk with regional lymph node involvement. We report a 1.5-year-old child with postcleft lip surgery presenting with painless swelling on the right side of the face for the past 4 months. Although culture showed no growth in our case, histopathological examination was diagnostic of entomophthoromycosis which aided the treatment. There was partial improvement in the size of the swelling with amphotericin B and a complete resolution with oral potassium iodide.

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