Rhinofacial Entomophthoromycosis Presenting as a Oronasal Tumor

Abstract

Entomophoromycosis is a rare mycotic infection affecting the subcutaneous tissue and nasal mucosa. Entomophthorales are seen in immunocompetent individuals. We present the case of a 22-year-old man who presented with nasal obstruction, unilateral watering from eye, and oral mass. On examination, the patient had an oronasal mass completely filling the left nasal cavity and extending into the left oropharynx. He also had left nasolacrimal duct obstruction. The mass was excised by a combined endoscopic and transoral microscopic approach along with endoscopic dacryocystorhinostomy. Postoperative biopsy was entomophthoromycosis. The patient was put on itraconazole and is on follow-up. This case is unique because of its atypical presentation. We also discuss the nuances regarding its optimal management as per the available literature and how we successfully managed the case.