Microbiology
Mould. (Review)
Usually Basidiobolus ranarum, but rare cases of Basidiobolus haptosporus.
Epidemiologic Risks
World wide, including the US SW. Most cases come from Africa.
"B. ranarum can be found in soil; decaying vegetable matter; gastrointestinal tracts of amphibians (eg, frogs and toads), reptiles (eg, garden lizards and geckos), and fish; leaves from deciduous trees; bats; and feces of kangaroos and wallabies (Pubmed)."
Syndromes
Abdominal pain and a mass suggesting colon cancer. Most are previously healthy or have diabetes (PubMed). May have eosinophilia.
Subcutaneous zygomycosis.
Treatment
Removal and itraconazole. A case report of a cure with no surgery and voriconazole for a year (PubMed). I assume it was associated with bankruptcy as well.
Notes
Last update: 01/20/20