Invasive Hemifacial Mycosis Mimicking Facial Malignancy: A Case Report
Oshiozimede Quincy AIGBONOGA
*
Plastic and Reconstructive Unit, Irrua Specialist Teaching Hospital, Irrua/Ambrose Alli University, Ekpoma/ADIZA Hospital, Jattu, Edo State, Nigeria.
Oluwafemi Olasupo AWE
Plastic and Reconstructive Unit, Irrua Specialist Teaching Hospital, Irrua/Ambrose Alli University, Ekpoma, Edo State, Nigeria.
Orume Lucky ENEGBUYA
Department of Anatomic Pathology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Kerry AZEKE
Department of Anaesthesiology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Stella Nneka NGWU
Department of Anaesthesiology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Ewoigbe IKHUORIA
Department of Anaesthesiology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Charles IKHIFA
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua Edo State, Nigeria.
Fidelis OZOBA
Department of Surgery, University of Benin Teaching Hospital, Benin, Edo State, Nigeria.
Miracle Onosetale EDOKPA
Department of Surgery, Asaba Specialist Hospital, Asaba, Delta State, Nigeria.
Unity Akugbe EHIJIE
Federal Medical Centre, Abeokuta, Ogun State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Invasive facial fungal infections are confusing disease processes that can involve one, or more regions of the face, presenting with varied clinical features that mimic other clinical conditions that could range from benign disease conditions to malignancies. While typically exhibiting characteristic features of fungal disease, facial mycosis can sometimes present in an unusual manner, having improbable localization to different aspect of the face such as the eyelids, cheeks, ear, etc. We present a 75-year-old retired military man from the rural part of southern Nigeria who presented with left hemifacial growth and deformity, and ptosis of the left upper eyelid. Tissue biopsy analysis yielded Histoplasmosis which when treated with the use of oral and topical anti-fungal medications led to complete resolution of all presenting complaints.
Keywords: Fungal infections, medications, darling disease, mucous membrane