Locally invasive cutaneous Apophysomyces elegans infection acquired from snapdragon patch test.
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.
Blair
Janis E
JE
Division of Infectious Diseases, Mayo Clinic, Scottsdale, Ariz 85259, USA. blair.janis@mayo.edu
Fredrikson
Lorna J
LJ
Pockaj
Barbara A
BA
Lucaire
Christina S
CS
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
D000935:Antifungal Agents; D000666:Amphotericin B