Cutaneous mucormycosis of the head and neck with parotid gland involvement: first report of a case.
Cutaneous mucormycosis is an uncommon, life-threatening, opportunistic fungal infection that is a distinctly different entity from the more frequent although still uncommon rhinocerebral form that is better known to otolaryngologists. We describe what to our knowledge is the only reported case of cutaneous mucormycosis of the face with parotid gland involvement, which occurred in a 56-year-old man. The diagnosis was established by tissue biopsy. The patient was treated with antifungal medications and wide local debridement, including a total parotidectomy with sacrifice of the inferior division of the facial nerve. At the 2-year follow-up, he remained free of disease. Familiarity with the risk factors associated with the development of cutaneous mucormycosis is critical to determining the need for early tissue biopsy to confirm the diagnosis. Generally favorable clinical outcomes are associated with prompt and aggressive medical and surgical therapy.
Numa
William A
WA
Department of Otolaryngology, University of Miami School of Medicine, FL 33136, USA.
Foster
Paul K
PK
Wachholz
Jeffrey
J
Civantos
Francisco
F
Gomez-Fernandez
Carmen
C
Weed
Donald T
DT
D001706:Biopsy; D003881:Dermatomycoses / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D009091:Mucormycosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D009336:Necrosis; D009894:Opportunistic Infections / Q000150:complications / Q000175:diagnosis*; D010306:Parotid Gland / Q000503:physiopathology* / Q000601:surgery; D012233:Rhizopus / Q000302:isolation & purification