title: Primary cutaneous zygomycosis due to Mucor circinelloides.
abstract: A 62-year-old woman with myelodysplastic syndrome presented with a 4-week history of a large indurated ulcer with a black eschar on the forearm following trauma. On biopsy a diagnosis of zygomycosis was made as broad, sparsely septate, thin-walled hyphae were seen in the deep dermis and subcutaneous fat. The zygomycete fungus Mucor circinelloides was cultured from tissue. Further investigation confirmed that the infection was localized to the skin. The 6 x 4 cm lesion was excised and the defect closed with a neurovascular island flap. No other treatment was undertaken. The patient died 6 months later from her haematological disease without recurrence of the fungal infection.
authors.affiliation: Skin and Cancer Foundation, The University of Melbourne, Melbourne, Victoria, Australia. chandrapete@hotmail.com
authors.forename: Suresh
authors.initials: S
authors.lastname: Chandra
authors.forename: Alan
authors.initials: A
authors.lastname: Woodgyer
mesh_terms: D001132:Arm; D003881:Dermatomycoses / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D009090:Mucorales / Q000145:classification*; D009190:Myelodysplastic Syndromes / Q000150:complications* / Q000175:diagnosis; D009894:Opportunistic Infections / Q000150:complications* / Q000175:diagnosis; D012720:Severity of Illness Index; D012883:Skin Ulcer / Q000382:microbiology / Q000601:surgery; D020096:Zygomycosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery