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Severe Cutaneous Zygomycosis due to Basidiobolus Ranarum in a Young Infant
Author(s) -
MENDIRATTA VIBHU,
KARMAKAR SOMENATH,
JAIN ARPITA,
JABEEN MASARAT
Publication year - 2011
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2011.01476.x
Subject(s) - medicine , zygomycosis , itraconazole , dermatology , presentation (obstetrics) , mucormycosis , pathology , surgery , antifungal , amphotericin b
Basidiobolomycosis classically presents as a noninflammatory, nonulcerated, nontender woody indurated mass without much contiguous spread. It is almost always seen in an immunocompetent host younger than 20. We report a case of a 9‐month‐old baby with a rapidly expanding malignant presentation of basidiobolomycosis with nonhealing ulcers and spread to underlying muscles, mimicking lymphoma. She responded poorly to itraconazole alone but showed dramatic improvement with a combination therapy of itraconazole and potassium iodide. The case also highlights an early acquisition of the infection at 1 month of age.