Uncommon case of isolated conjunctival histoplasmosis: A rare clinical entity

Abstract

We report an unusual case of isolated conjunctival histoplasmosis in a healthy immunocompetent patient. A 62-year-old male presented with a gradually progressing, painless, fleshy mass in both eyes for 2 months. On examination, a diffuse, raised, vascularized, and nontender mass was noted on the entire bulbar conjunctiva. On incisional biopsy, the histopathologic report confirmed a causative agent of Histoplasma capsulatum. He was then treated with topical itraconazole and intravenous amphotericin B, the lesion exhibited signs of regression. When confronted with an unusual conjunctival mass, it is imperative to do a detailed microbiological and histopathological work-up of a patient.