Publication

Abstract : 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. Copyright © 2014 Wolters Kluwer Health | Lippincott Williams Wilkins.