Subcutaneous Basidiobolomycosis Presenting as Soft Tissue Sarcoma Mimicker: A Case Report

Authors

  • Wasin Netsuwan Takfa Hospital, Takfa, Nakhonsawan 60190, Thailand.
  • Sethawut Ruangsirinusorn Navamin 9 Hospital, Minburi, Bangkok 10510, Thailand.

DOI:

https://doi.org/10.31584/jhsmr.20251291

Keywords:

Basidiobolomycosis, Basidiobolus, Entomophthoramycosis, Sarcoma

Abstract

A 20-year-old Thai woman from Takfa, Nakhonsawan, presented with a painful, progressively enlarging, erythematous mass on the right thigh over 2 months; initially suspected to be soft tissue sarcoma, she was later diagnosed with subcutaneous Basidiobolomycosis based on histopathology and fungal culture. She responded well to oral itraconazole and potassium iodide solution.

References

Katari Gopalakrishanan V, Murali M, Venkatraman SK, Essaki M. Subcutaneous entomophthoromycosis in an immunocompetent individual: a localised forearm swelling. BMJ Case Rep 2022;15. doi: 10.1136/bcr-2021-247395.

Chaiyasate S, Salee P, Sukapan K, Teeranoraseth T, Roongrotwattanasiri K. Rhinofacial entomophthoramycosis case series, the unusual cause of facial swelling. Ann Med Surg (Lond) 2020;57:41–5. doi: 10.1016/j.amsu.2020.07.013.

Singh S, Shahid R, Pradhan S, Kumar T, Gupta R. Cutaneous Entomophthoromycosis from Bihar: a report of three cases and review of literature. Indian J Dermatol 2022;67:610–3. doi: 10.4103/ijd.ijd_439_22.

Chiewchanvit S, Khamwan C, Pruksachatkunakorn C, Thamprasert K, Vanittanakom N, Mahanupab P, et al. Entomophthoromycosis in Maharaj Nakorn Chiang Mai Hospital. J Med Assoc Thai 2002;85:1089–94.

Henprasertthae N, Kanjanawibulwong A, Prajaksuph N, Watthanarungson R, Jiamsiri S, Jiraphongsa C, et al. Entomophthoromycosis in mushroom farm workers in Mueang District, Ratchaburi Province, 2009. Wkly Epidemiol Surveill Rep 2011;42(Suppl 1):S74–80.

Tuchinda C, Chakkavittumrong P, Visuttichaikit S. Subcutaneous Basidiobolomycosis: a report of young Thai lady. Thai J Dermatol 2024;40:61-7.

Limtao A, Ingkaninan P. Case Report: Subcutaneous Basidiobolomycosis in Pregnancy. Thai J Dermatol 2024;40:13–7.

Sherchan R, Zahra F. Entomophthoromycosis [homepae on the Internet]. Treasure Island (FL): StatPearls Publishing; 2024 [cited 2025 Mar 23]. Available from: https://www.ncbi.nlm.nih. gov/books/NBK570629/

Zia Hashmi KH, Hameed Z, Mamoon N. The gastrointestinal basidiobolomycosis, a rare entity: case report and review of literature. J Pak Med Assoc 2023;73:399–401. doi: 10.47391/JPMA.4728.

Raveenthiran V, Mangayarkarasi V, Kousalya M, Viswanathan P, Dhanalakshmi M, Anandi V. Subcutaneous entomophthoromycosis mimicking softtissue sarcoma in children. J Pediatr Surg 2015;50:1150–5. doi: 10.1016/j.jpedsurg.2014.11.031.

Vilela R, Mendoza L. Human Pathogenic Entomophthorales. Clin Microbiol Rev 2018;31. doi: 10.1128/CMR.00014-18.

Claussen M, Schmidt S. Differentiation of Basidiobolus spp. Isolates: RFLP of a Diagnostic PCR Amplicon Matches Sequence-Based Classification and Growth Temperature Preferences. J Fungi (Basel) 2021;7. doi: 10.3390/jof7020110.

Choonhakarn C, Inthraburan K. Concurrent subcutaneous and visceral basidiobolomycosis in a renal transplant patient. Clin Exp Dermatol 2004;29:369–72. doi: 10.1111/j.1365-2230.2004.01533.x.

Hung TY, Taylor B, Lim A, Baird R, Francis JR, Lynar S. Skin and soft tissue infection caused by Basidiobolus spp. in Australia. IDCases 2020;20:e00731. doi: 10.1016/j.idcr.2020.e00731.

Downloads

Published

2026-05-25

How to Cite

1.
Netsuwan W, Ruangsirinusorn S. Subcutaneous Basidiobolomycosis Presenting as Soft Tissue Sarcoma Mimicker: A Case Report. J Health Sci Med Res [internet]. 2026 May 25 [cited 2026 May 25];44(4):e20251291. available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/288971

Issue

Section

Case Report