 One explanation that has been offered for this observation suggests that male children in endemic regions areas were likely to use decayed leaves which might be associated with pathogenic "B. ranarum" strains as toilet paper following defecation.Although rarely, the agent can cause gastrointestinal disease which does not show specific vulnerable groups or risk factors.In general, the clinical presentation of subcutaneous zygomycosis is quite identifiable and characteristic and the diagnosis is fairly easy.