Nasopharyngeal conidiobolomycosis caused by Conidiobolus coronatus was
diagnosed in a horse after endoscopic and histopathologic examination
s of a biopsy specimen. The fungal lesions in the nasopharynx were sub
stantially reduced in size after intralesional injection of amphoteric
in B through the biopsy channel of a videoendoscope in combination wit
h IV administration of sodium iodide and oral administration of potass
ium iodide during a 2-month period. Endoscopy performed 15 months afte
r initial examination revealed regression of the granulomatous masses
in the nasopharynx and complete disappearance of the nasal masses. Two
months later, clinical signs recurred, and the owner elected euthanas
ia without evaluation and treatment. Nasopharyngeal conidiobolomycosis
may be treated successfully with intralesional injection of amphoteri
cin B in combination with administration of sodium iodide and potassiu
m iodide, but there is a possibility of recrudescence of infection.