Nosocomial zygomycotic post-surgical necrotizing fasciitis in a healthy adult caused by Apophysomyces elegans in south India.
Necrotizing fasciitis caused by the zygomycete Apophysomyces elegans of the anterior abdominal wall of a young healthy woman following a lower segment caesarean section is reported. Early clinical diagnosis and laboratory identification followed by appropriate management involving extensive tissue debridement and adequate doses of amphotericin B were eventually successful in controlling the infection and saving her life.
Mathews
M S
MS
Department of Clinical Microbiology, Christian Medical College & Hospital, Vellore, south India.
Raman
A
A
Nair
A
A
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D002585:Cesarean Section; D003428:Cross Infection; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000150:complications*; D005260:Female; D006801:Humans; D007194:India; D009090:Mucorales / Q000145:classification / Q000166:cytology / Q000302:isolation & purification*; D009091:Mucormycosis / Q000175:diagnosis / Q000628:therapy / Q000635:transmission*; D011183:Postoperative Complications; D011247:Pregnancy
D000935:Antifungal Agents; D000666:Amphotericin B