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Original ArticleOpen Access
Entomophthoromycosis in Maharaj Nakom Chiang Mai Hospital
Chiewchanvit S 
,
Khamwan C ,
Pruksachatkunakom C ,
Thamprasert K ,
Vanittanakom N ,
Mahanupab P ,
Lertprasertsuk N ,
Fooanant S
,
Khamwan C ,
Pruksachatkunakom C ,
Thamprasert K ,
Vanittanakom N ,
Mahanupab P ,
Lertprasertsuk N ,
Fooanant S CHANTANA KHAMWAN,B.S.**,
KAMTHORN THAMPRASERT, M.D.****,
PONGSAK MAHANUPAB, M.D.****,
SUPRANEE FOOANANT, M.D.***
Objective : To review documented entomophthoromycosis patients at Maharaj Nakom
Chiang Mai Hospital from 1985 to 2001.
Material and Method: A retrospective review was performed at Maharaj Nakom Chiang
Mai Hospital from 1985 to 2001. Eight cases of entomophthoromycosis were found between 1988 and
1993, with five patients diagnosed as subcutaneous zygomycosis, I GI entomophthoromycosis and
2 rhinofacial zygomycosis.
Results : The subcutaneous zygomycosis group was composed of 5 female patients, aged
7-77 years. They presented with a painless subcutaneous mass, which was solitary or multiple and
most commonly found on the extremities. The duration of disease was between 3 months to 5 years.
The cultures grew
Basidiobolus ranarum.
A case of GI entomophthoromycosis was seen in a 34 year
old man, who presented with dyspepsia, multiple intraabodminal masses and peritonitis. Two cases
of conidiobolomycosis (rhinofacial zygomycosis) were seen. These two patients were male, 26 and
39 years old, and they presented with unilateral nasal obstruction from a mass at the inferior turbinate.
The cultures grew
Conidiobolus coronatus.
Conclusion : Entomophthoromycosis in the northern part of Thailand is rare. The disease
should be differentially diagnosed by a chronic painless tumor. The patients in this review responded
very well to the recommended therapy.
Key word : Entomophthoromycosis, GI, Zygomycosis, Subcutaneous
KAMTHORN THAMPRASERT, M.D.****,
PONGSAK MAHANUPAB, M.D.****,
SUPRANEE FOOANANT, M.D.***
Objective : To review documented entomophthoromycosis patients at Maharaj Nakom
Chiang Mai Hospital from 1985 to 2001.
Material and Method: A retrospective review was performed at Maharaj Nakom Chiang
Mai Hospital from 1985 to 2001. Eight cases of entomophthoromycosis were found between 1988 and
1993, with five patients diagnosed as subcutaneous zygomycosis, I GI entomophthoromycosis and
2 rhinofacial zygomycosis.
Results : The subcutaneous zygomycosis group was composed of 5 female patients, aged
7-77 years. They presented with a painless subcutaneous mass, which was solitary or multiple and
most commonly found on the extremities. The duration of disease was between 3 months to 5 years.
The cultures grew
Basidiobolus ranarum.
A case of GI entomophthoromycosis was seen in a 34 year
old man, who presented with dyspepsia, multiple intraabodminal masses and peritonitis. Two cases
of conidiobolomycosis (rhinofacial zygomycosis) were seen. These two patients were male, 26 and
39 years old, and they presented with unilateral nasal obstruction from a mass at the inferior turbinate.
The cultures grew
Conidiobolus coronatus.
Conclusion : Entomophthoromycosis in the northern part of Thailand is rare. The disease
should be differentially diagnosed by a chronic painless tumor. The patients in this review responded
very well to the recommended therapy.
Key word : Entomophthoromycosis, GI, Zygomycosis, Subcutaneous
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