Fatal cellulitis caused by Apophysomyces elegans.
A case of cellulitis of the left lateral side of the face caused by the zygomycete Apophysomyces elegans in a healthy male following a road traffic accident is reported. The contaminated soil was the source of fungus. Broad aseptate fungal hyphae were seen in the necrosed tissues. Extensive tissue debridement and treatment with amphotericin B were not successful in controlling the rapid invasion of the tissues by the fungus. Patient developed angioinvasion, severe cellulitis and finally succumbed to the infection three weeks after admission.
Kindo
A J
AJ
Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Chennai - 600 116, India. anupmalakra@yahoo.com
Shams
N R
NR
Kumar
K
K
Kannan
S
S
Vidya
S
S
Kumar
A R
AR
Kalyani
J
J
D002481:Cellulitis / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009090:Mucorales / Q000302:isolation & purification*; D009091:Mucormycosis / Q000150:complications* / Q000382:microbiology