A fatal case of cutaneous zygomycosis in a patient with severe metabolic acidosis.
We present a case of cutaneous zygomycosis in a patient with an ureteroileostomy and severe metabolic acidosis, but without diabetes. The patient died despite multiple aggressive surgical interventions and antifungal therapy with liposomal amphotericin B. Ureteroileostomy-related acidosis can be a predisposing factor for zygomycosis. Metabolic acidosis can have a role in the severity of cutaneous disease.
Kosmidis
C
C
Second Department of Medicine, Thriassio General Hospital, Athens, Greece Department of Plastic Surgery, Thriassio General Hospital, Athens, Greece. ckosmidis@gmail.com
Katsogianni
K
K
Matsoukas
S
S
Tsagarakis
M
M
Georgiou
P
P
Giannopoulou
P
P
Liapi
G
G
Antonopoulos
A
A
D000138:Acidosis / Q000150:complications*; D000368:Aged; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012871:Skin Diseases / Q000209:etiology* / Q000601:surgery; D020096:Zygomycosis / Q000209:etiology* / Q000601:surgery