A Rare Case of Rhinofacial Zygomycosis due to Conidiobolus Infection

Background: Rhinofacial zygomycosis is the infection of subcutaneous tissues of maxillofacial region caused by zygomycetes class of fungi. It is commonly caused by the order mucorales and is acute and fulminant. Infections by the order entomophthorales are rare but indolent. Case report: We report an unusual case of rhinofacial zygo­ mycosis due to Conidiobolus coronatus of the order Entomo­ phthorales in an immunocompetent adult male to highlight the clinical presentation, diagnosis and treatment. We treated the patient with multiple drugs, that is amphotericin­B, cotrimoxazole, and itraconazole along with endoscopic debride ment of nasal polyps with excellent result. Conclusion: Rhinofacial zygomycosis due to entomophthorales is rare but treatable condition. Appropriate histopathological diagnosis and a multipronged approach with timely medical as well as surgical management is the key to clinical cure.