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A case of sinus-orbital Rhizopus microsporus var. rhizopodiformis infection in a patient with graft versus host disease following allogeneic blood stem cell transplantation is reported. Commercially available pea straw compost used for gardening was suspected to be the source of the infection. After an initial relapse, treatment with surgical debridement, liposomal amphotericin B and posaconazole was successful.

journal of medical microbiology/journal of medical microbiology

Rhizopus microsporus var. rhizopodiformis sinus–orbital zygomycosis in an immunosuppressed patient: successful treatment with posaconazole after a complicated clinical course