Entomophthoromycosis
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Entomophthoramycosis (or Entomophthoromycosis) is a
mycosis Fungal infection, also known as mycosis, is disease caused by fungi. Different types are traditionally divided according to the part of the body affected; superficial, subcutaneous, and systemic. Superficial fungal infections include common ti ...
caused by
Entomophthorales The Entomophthorales are an order (biology), order of fungi that were previously classified in the class Zygomycetes. A new subdivision, Entomophthoromycotina, has recently been circumscription (taxonomy), circumscribed for them. Most species of ...
. Examples include
basidiobolomycosis Basidiobolomycosis is a mycosis, fungal disease caused by ''Basidiobolus ranarum''. It may appear as one or more painless firm nodule (medicine), nodules in the skin which becomes purplish with an edge that appears to be slowly growing outwards. A ...
and
conidiobolomycosis Conidiobolomycosis is a rare long-term fungal infection that is typically found just under the skin of the nose, sinuses, cheeks and upper lips. It may present with a nose bleed or a blocked or runny nose. Typically there is a firm painless ...
.


Signs and symptoms


Diagnosis

A culture of the infected tissue of the individual suspected of having Entomophthoramycosis


Treatment

Treatment for phycomycosis is very difficult and includes surgery when possible. Postoperative recurrence is common. Antifungal drugs show only limited effect on the disease, but
itraconazole Itraconazole, sometimes abbreviated ITZ, is an antifungal medication used to treat a number of fungal infections. This includes aspergillosis, blastomycosis, coccidioidomycosis, histoplasmosis, and paracoccidioidomycosis. It may be given by mouth ...
and terbinafine hydrochloride are often used for two to three months following surgery. Humans with ''Basidiobolus'' infections have been treated with
amphotericin B Amphotericin B is an antifungal medication used for serious fungal infections and leishmaniasis. The fungal infections it is used to treat include mucormycosis, aspergillosis, blastomycosis, candidiasis, coccidioidomycosis, and cryptococcosis. Fo ...
and
potassium iodide Potassium iodide is a chemical compound, medication, and dietary supplement. It is a medication used for treating hyperthyroidism, in radiation emergencies, and for protecting the thyroid gland when certain types of radiopharmaceuticals are us ...
. For pythiosis and lagenidiosis, a new drug targeting water moulds called
caspofungin Caspofungin (INN) (brand name Cancidas) is a lipopeptide antifungal drug from Merck & Co., Inc. discovered by James Balkovec, Regina Black and Frances A. Bouffard. It is a member of a new class of antifungals termed the echinocandins. It wor ...
is available, but it is very expensive.
Immunotherapy Immunotherapy or biological therapy is the treatment of disease by activating or suppressing the immune system. Immunotherapies designed to elicit or amplify an immune response are classified as ''activation immunotherapies,'' while immunotherap ...
has been used successfully in humans and horses with pythiosis. Treatment for skin lesions is traditionally with potassium iodide, but itraconazole has also been used successfully.


References


External links

Mycosis-related cutaneous conditions {{mycology-stub