title: A fatal case of cutaneous zygomycosis in a patient with severe metabolic acidosis.
abstract: 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.
authors.affiliation: Second Department of Medicine, Thriassio General Hospital, Athens, Greece Department of Plastic Surgery, Thriassio General Hospital, Athens, Greece. ckosmidis@gmail.com
authors.forename: C
authors.initials: C
authors.lastname: Kosmidis
authors.forename: K
authors.initials: K
authors.lastname: Katsogianni
authors.forename: S
authors.initials: S
authors.lastname: Matsoukas
authors.forename: M
authors.initials: M
authors.lastname: Tsagarakis
authors.forename: P
authors.initials: P
authors.lastname: Georgiou
authors.forename: P
authors.initials: P
authors.lastname: Giannopoulou
authors.forename: G
authors.initials: G
authors.lastname: Liapi
authors.forename: A
authors.initials: A
authors.lastname: Antonopoulos
mesh_terms: 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