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Primary cutaneous mucormycosis caused by Mucor irregularis in an elderly person
Author(s) -
Yamaguchi Sayaka,
Okubo Yuko,
Katano Azusa,
Sano Ayako,
Uezato Hiroshi,
Takahashi Kenzo
Publication year - 2015
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/1346-8138.12736
Subject(s) - mucormycosis , amphotericin b , mucor , medicine , dissection (medical) , lesion , dermatology , surgery , antifungal , biology , microbiology and biotechnology , aspergillus
Primary cutaneous mucormycosis is a rare but often lethal severe fungal infection, which usually occurs in immunocompromised patients. We report a case of primary cutaneous mucormycosis caused by Mucor irregularis in an elderly patient. Seven months after the surgical dissection of the involved skin, cutaneous mucormycosis recurred at the peripheral edge of the skin graft. Shortly subsequent to the administration of liposomal amphotericin B, the remaining skin lesion was excised again. M. irregularis is rarely but increasingly reported as a cause of mucormycosis in immunocompetent individuals, especially in Asian farmers. M. irregularis may be largely disseminated in the soils of Asia and thus the trivial trauma at the time of farm work may be a trigger for the onset. These cases tend to leave severe cosmetic damage even in healthy individuals, although the vital prognosis is not affected.