Paper Title
Subcutaneous Basidiobolomycosis in a Child From Maharashtra, India – A Rare Case Report

Abstract
Subcutaneous basidiobolomycosis is a rare, chronic granulomatous fungal infection caused by Basidiobolus ranarum, typically affecting immunocompetent individuals in tropical and subtropical regions. We report the case of a 10 year old girl from Maharashtra, India, who presented with a gradually enlarging, indurated subcutaneous swelling over the posterior arm. Histopathological examination revealed granulomatous inflammation with fungal elements surrounded by the Splendore Hoeppli phenomenon, while fungal culture on Sabouraud’s dextrose agar confirmed Basidiobolus ranarum. The patient was successfully treated with oral itraconazole and topical luliconazole, achieving complete resolution within three months. This case highlights the diagnostic challenge posed by basidiobolomycosis, which often mimics soft tissue sarcoma or chronic inflammatory conditions, leading to misdiagnosis and unnecessary surgical intervention. Early recognition, reliance on histopathology and culture for definitive diagnosis, and timely antifungal therapy are crucial for favourable outcomes. Reporting such cases contributes to awareness among clinicians and reinforces the importance of considering basidiobolomycosis in the differential diagnosis of chronic subcutaneous swellings in endemic regions.