Subcutaneous Phycomycosis: A Review of 31 Cases Seen in Uganda

Abstract

Subcutaneous phycomycosis was first described in Indonesia in 1956. Thirty-one cases have now been recorded in Uganda. It was in this country that the first African case was recognized in 1961. All the fungi isolated have been Basidiobolus species. Since then the condition has been recognized in many countries across tropical Africa, and is believed to be relatively common and widely distributed. The clinical features of this lesion are strikingly characteristic. These, together with the age incidence and site of distribution on the body, have been described. The histological appearances and certain aspects of the diagnostic mycology, including biopsy requirements, are discussed. Possible modes of infection are postulated and response to therapy is reviewed. © 1964, British Medical Journal Publishing Group. All rights reserved.