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Year : 2008  |  Volume : 74  |  Issue : 4  |  Page : 367--370

Primary cutaneous mucormycosis (zygomycosis) caused by Apophysomyces elegans

1 Department of Dermatology, Apollo Hospital, Hyderabad, India
2 Department of General Surgery, Apollo Hospital, Hyderabad, India
3 Department of Microbiology, Apollo Hospital, Hyderabad, India

Correspondence Address:
I S Reddy
B- 13, Madhura Nagar, S.R. Nagar Post, Hyderabad - 500 038
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.42912

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A 53 year-old male diabetic presented with a month-old, painful ulcer with necrotic margins over the right thigh. Wound debridement was done twice and the ulcer showed recurrent growth of a white, cottony filamentous structure. Cutaneous mucormycosis was suspected and confirmed by histopathology and a culture isolate of Apophysomyces elegans . The patient was treated with liposomal amphotericin-B and itraconazole followed by partial thickness skin grafting, and then discharged after being prescribed posaconazole syrup for three weeks. Regular follow-up was done and during the last visit after six months following discharge, the ulcer was found to have healed well with no recurrence of the fungus.


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Online since 15th March '04
Published by Wolters Kluwer - Medknow