Surgical management of gastrointestinal basidiobolomycosis in pediatric patients

Subcutaneous entomophthoromycosis mimicking soft-tissue sarcoma in children

“…Phototrophic property of these fungi [26] is hypothesized to facilitate subcutaneous localization of the spores. Occasional cases of lung [15] and gut [7,10] infections support the hypothesis of aerodigestive inoculation. In our series only 38% had identifiable incident of potential transcutaneous inoculation.…”

“…EM is common in tropical areas such as sub-Saharan Africa [2], South East Asia [5], and Brazil [6]. However, probably due to international travels, it is increasingly been reported from nonendemic areas such as USA [7], Australia [8], Germany [9], Arabian peninsula [10], Portugal [11] and Netherlands [12].…”

“…In Burkitt's series 63% of patients were under the age of 9 and 30% were adolescents while only 7% were adults [2]. The infection is mostly confined to subcutaneous tissue, although, disseminated forms [12][13][14] and visceral involvement [10,15] are rarely reported. Even in endemic areas, subcutaneous EM is frequently mistaken for soft tissue sarcoma or lymphoma [6,16,17].…”

Diagnosis of gastrointestinal basidiobolomycosis: a mini‐review

“…The 27 reported paediatric patients are summarised in Table , where 19 patients are from KSA, 3 from Iran, 2 from Iraq, 2 from Brazil and 1 from Nigeria.…”

“…11 The remaining six patients were one from each of Nigeria, India, Bangladesh, Italy, Netherlands and one with unreported country of origin. 11 The 27 reported paediatric patients are summarised in Table 1, [12][13][14][15][16][17][18][19][20][21][22][23][24] where 19 patients are from KSA, 3 from Iran, 2 from Iraq, 2 from Brazil and 1 from Nigeria.…”