title: Locally invasive cutaneous Apophysomyces elegans infection acquired from snapdragon patch test.
abstract: Apophysomyces elegans is an environmental fungus related to other well-known agents of zygomycosis. We report a case of locally invasive A elegans soft tissue infection resulting from the application of a skin patch to test for snapdragon sensitivity. The infection was limited to skin and soft tissue, and treatment consisted of local debridement and liposomal amphotericin B. Outcome was successful.
authors.affiliation: Division of Infectious Diseases, Mayo Clinic, Scottsdale, Ariz 85259, USA. blair.janis@mayo.edu
authors.forename: Janis E
authors.initials: JE
authors.lastname: Blair
authors.forename: Lorna J
authors.initials: LJ
authors.lastname: Fredrikson
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Pockaj
authors.forename: Christina S
authors.initials: CS
authors.lastname: Lucaire
mesh_terms: D000368:Aged; D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003646:Debridement; D003881:Dermatomycoses / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D006801:Humans; D008297:Male; D009091:Mucormycosis / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D010328:Patch Tests / Q000009:adverse effects*; D018461:Soft Tissue Infections / Q000209:etiology* / Q000382:microbiology / Q000628:therapy
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B