title: [Necrotizing fasciitis in an immunocompetent patient caused by Apophysomyces elegans].
abstract: A case study is presented of a 7-year-old boy, seriously injured in a car accident, who developed a fatal infection due to Aphophysomyces elegans--a mold of the Mucoracea family. Fungal invasion was initially manifested by a spotted wound in the left lumbar region which developed into a necrotizing fasciitis. Later this progressed to the right lumbar area, including the gluteus and the corresponding flank. Antimycotic treatment proved ineffective, and the child died 8 weeks after the accident. Other cases due to this fungus are reviewed.
authors.affiliation: Servicio de Cirugía, Hospital Pablo Tobón Uribe, Medellín, Colombia.
authors.forename: Carmen Elena
authors.initials: CE
authors.lastname: Ruiz
authors.forename: Myrtha
authors.initials: M
authors.lastname: Arango
authors.forename: Ana Lucía
authors.initials: AL
authors.lastname: Correa
authors.forename: Luz Saider
authors.initials: LS
authors.lastname: López
authors.forename: Angela
authors.initials: A
authors.lastname: Restrepo
mesh_terms: D000063:Accidents, Traffic; D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D003646:Debridement / Q000379:methods; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D017809:Fatal Outcome; D006801:Humans; D007121:Immunocompetence; D008297:Male; D009091:Mucormycosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D010800:Phycomyces / Q000302:isolation & purification*
chemical_list: D000935:Antifungal Agents