A case of nasal chromoblastomycosis causing epistaxis

Chromoblastomycosis is a chronic fungal infection of the skin and subcutaneous tissue that most commonly affects the feet and lower limbs. It is rare for this infection to occur on the face, and it is exceptionally rare for it to involve the nose and sinuses. This paper reports a rare case of nasal...

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Bibliographic Details
Published in:	Journal of laryngology and otology Vol. 128; no. 12; p. 1117
Main Authors:	Penjor, D, Khizuan, A K, Chong, A W, Wong, K T
Format:	Journal Article
Language:	English
Published:	England 01-12-2014
Subjects:	Biopsy Chromoblastomycosis - complications Chromoblastomycosis - diagnosis Chromoblastomycosis - drug therapy Diagnosis, Differential Diagnostic Errors Endoscopy - methods Epistaxis - etiology Humans Male Middle Aged Nasal Cavity - pathology Turbinates - pathology
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Summary:	Chromoblastomycosis is a chronic fungal infection of the skin and subcutaneous tissue that most commonly affects the feet and lower limbs. It is rare for this infection to occur on the face, and it is exceptionally rare for it to involve the nose and sinuses. This paper reports a rare case of nasal chromoblastomycosis in a 50-year-old Malaysian male. The patient, who was a rubber plantation worker in the southern state of Johor, presented to the ENT clinic with a history of epistaxis. He did not recall any history of injury to the nose. Nasal endoscopy showed a pale yellowish lesion at the inferior edge of the left middle turbinate. Histology revealed that this was a case of chromoblastomycosis. Chromoblastomycosis of the nasal cavity is very rare and can be mistaken for other granulomatous conditions in the nose. It progresses very slowly over many years. Our patient was managed conservatively, as he was not keen on undergoing surgical intervention. Lesion size remained the same at five months' follow up, with no recurrence of epistaxis.
ISSN:	1748-5460
DOI:	10.1017/S0022215114002655