Cutaneous zygomycosis: a case report and review of Japanese reports.
A 69-year-old man, a carpenter with idiopathic thrombopenic purpura and interstitial pneumonia, was treated with steroid pulse therapy and antibiotics. On the seventh day of steroid therapy, a conglomeration of papules, vesicles and pustules appeared in an area of the left buttock in contact with his napkin. In a Parker KOH specimen of the crust of the lesion, many non-septate hyphae were seen, and culture of material obtained by biopsy yielded Rhizopus microsporus var. microsporus. Ketoconazole cream was applied topically for 1 week, and the exanthema healed. After the third month of inpatient treatment, the patient's overall condition had returned to normal, and he was discharged. Cutaneous zygomycosis is a rare disease, and only 19 cases have been reported in Japan. Its characteristics, as reported in these cases, have been collected and collated.
Kobayashi
M
M
Hiruma
M
M
Matsushita
A
A
Kawai
M
M
Ogawa
H
H
Udagawa
S
S
D000368:Aged; D003881:Dermatomycoses / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D005658:Fungi; D006801:Humans; D007564:Japan; D008297:Male; D009091:Mucormycosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D012233:Rhizopus / Q000302:isolation & purification