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A core biopsy of the right arm swelling found a granuloma with no malignancy features so an incisional biopsy of the lesion was carried out. This indicated granulomatous inflammation with excessive giant cell reaction and focal panniculitis with the possibility of a mycotic lesion. Bronchoalveolar lavage was negative for tuberculosis and fungal infection. After a multidisciplinary team discussion, the patient was started on antifungal medication. There was a marked reduction in both the size and consistency of the swelling after several weeks of oral itraconazole and potassium iodide solution. The purpose of this report is to increase the awareness of this uncommon treatable condition which, if misdiagnosed, could result in an inappropriate intervention.<\/jats:p>","DOI":"10.1136\/bcr-2021-247395","type":"journal-article","created":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T13:52:36Z","timestamp":1669902756000},"page":"e247395","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Subcutaneous entomophthoromycosis in an immunocompetent individual: a localised forearm swelling"],"prefix":"10.1136","volume":"15","author":[{"given":"VishnuKumar","family":"Katari Gopalakrishanan","sequence":"first","affiliation":[{"name":"General Surgery, Saveetha University Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magesh","family":"Murali","sequence":"additional","affiliation":[{"name":"General Surgery, Saveetha University Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruthi Kamal","family":"Venkatraman","sequence":"additional","affiliation":[{"name":"General Surgery, Saveetha University Saveetha Medical College and Hospital, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muthuvel","family":"Essaki","sequence":"additional","affiliation":[{"name":"Pathology, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,12,1]]},"reference":[{"key":"2025082623395697000_15.12.e247395.1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.3.1367-1369.2004"},{"key":"2025082623395697000_15.12.e247395.2","article-title":"Subcutaneous phycomycosis in a child","volume":"8","author":"Naniwadekar","year":"2009","journal-title":"Online J Heal Allied Scs"},{"key":"2025082623395697000_15.12.e247395.3","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmp049"},{"key":"2025082623395697000_15.12.e247395.4","doi-asserted-by":"crossref","first-page":"307","DOI":"10.4103\/idoj.IDOJ_456_20","article-title":"Basidiobolomycosis: case report and literature overview","volume":"12","author":"Sethy","year":"2021","journal-title":"Indian Dermatol Online J"},{"key":"2025082623395697000_15.12.e247395.5","unstructured":"UNITE - Unified system for the DNA based fungal species linked to the classification. 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