Upper eyelid subcutaneous zygomycosis in an immunocompetent young Nigerian female: case report

Abstract

A 23 year-old female was presented with a year history of gradual, slowly progressive, painless swelling in the left upper eyelid. Examination revealed a well circumscribed, firm, not tender eyelid mass, not attached to the skin or underlying structures which was completely excised. Histopathological examination showed numerous hyphae and spores with Gomori Methylamine Silver stain while culture yielded floccose - whitish fast growing colonies. A diagnosis of zygomycosis probably entomophthoramycosis was made and she was treated with oral Fluconazole. The residual ptosis was corrected by tarsofrontal sling surgery. Zygomycosis should be considered a differential of a circumscribed eyelid subcutaneous mass in an immunocompetent adult.