A rare case of conidiobolomycosis shows effective treatment with itraconazole, highlighting its clinical features.
Conidiobolomycosis is a rare tropical deep cutaneous mycosis characterized by dysmorphic facial involvement giving, in advanced forms, a “hippopotamus snout” appearance. We report the case of a patient presenting with conidiobolomycosis at Kara University Hospital in Togo. The patient, a 32-year-old farmer, presented with a 2-month history of progressive facial swelling associated with headache and clear rhinorrhea. Clinical examination revealed a swollen face with increased involvement of the upper lip, erythema and a clear nasal discharge. A tomodensitometry of the face and histological examination of a skin biopsy provided further support for the diagnosis of conidiobolomycosis. The patient was put on itraconazole 400mg/day with a good clinical evolution. To our knowledge, no case has ever been reported in Togo.
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Kassang et al. (2025) studied this question.
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