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A case of nasal chromoblastomycosis causing epistaxis

Published online by Cambridge University Press:  10 November 2014

D Penjor ,
A K Khizuan ,
A W Chong  and
K T Wong
D Penjor*
Affiliation:
Department of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
A K Khizuan
Affiliation:
Department of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
A W Chong
Affiliation:
Department of Otorhinolaryngology, University of Malaya, Kuala Lumpur, Malaysia
K T Wong
Affiliation:
Department of Pathology, University of Malaya, Kuala Lumpur, Malaysia
*
Address for correspondence: Dr Dorji Penjor, Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur, Malaysia E-mail: penjord@hotmail.com
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Abstract

Background:

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.

Case report:

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.

Conclusion:

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.

Keywords

ChromoblastomycosisTurbinatesEpistaxis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 12 , December 2014 , pp. 1117 - 1119
Copyright
Copyright © JLO (1984) Limited 2014 

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