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Unusual Facial Mutilation Due to Rhinoentomophthoromycosis

Orji, Foster Tochukwu MBBS, FWACS, FMCorl*†; Okafor, Okechukwu Charles DAPath, FMCPath, FICS; Akpeh, James O. MBBS§; Nnadede, Peter C. MBBS

Infectious Diseases in Clinical Practice: September 2012 - Volume 20 - Issue 5 - p 341–344
doi: 10.1097/IPC.0b013e318245d3a8
Case Reports

Rhinoentomophthoromycosis caused by Entomophthorales is a rare, chronic, granulomatous disease, occurring mainly in tropical areas, particularly in Central America, equatorial Africa, and Southeast Asia, especially India. It commonly presents as a chronic granulomatous lesion that affects the rhinofacial subcutaneous tissue. We present 3 cases of rhinoentomophthoromycosis. This rare disease produced unusual woody progressive deformity of the nose and upper lip in the first case, whereas it produced deformity of the left cheek as well as lower eyelid in the second case and third case respectively. To our knowledge, these are the first such unusual cases of gross facial, particularly labial mutilation to be reported from Nigeria. We also discuss the presentation and management of entomophthoromycosis.

From the *Department of Surgery, University of Nigeria Teaching Hospital, Enugu; †Federal Medical Center, Umuahia, Abia State; ‡Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Enugu; §Department of Otolaryngology, University of Nigeria Teaching Hospital, Enugu; and ∥Department of Surgery, Federal Medical Center, Umuahia, Abia State, Nigeria.

Correspondence to: Foster Tochukwu Orji, MBBS, FWACS, FMCorl, Department of Otolaryngology, University of Nigeria Teaching Hospital, Enugu, Nigeria. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.