Fungemia and cutaneous zygomycosis due to Mucor circinelloides in an intensive care unit patient: case report and review of literature.
Mucor spp. are rarely pathogenic in healthy adults, but can cause fatal infections in patients with immuosuppression and diabetes mellitus. Documented mucor fungemia is a very rare condition in the literature. We described a fungemia and cutaneous mucormycosis case due to Mucor circinelloides in an 83-year-old woman with diabetes mellitus who developed acute left frontoparietal infarctus while hospitalized in a neurological intensive care unit. The diagnosis was made based on the growth of fungi in the blood, skin biopsy cultures, and a histopathologic examination of the skin biopsy. The isolates were identified as M. circinelloides by molecular methods. This case is important in that it shows a case of cutaneous mucormycosis which developed after fungemia and provides a contribution to the literature regarding Mucor fungemia.
Dizbay
Murat
M
Department of Infectious Diseases, Gazi University School of Medicine, Ankara, Turkey.
Adisen
Esra
E
Kustimur
Semra
S
Sari
Nuran
N
Cengiz
Bulent
B
Yalcin
Burce
B
Kalkanci
Ayse
A
Gonul
Ipek Isik
II
Sugita
Takashi
T
D000369:Aged, 80 and over; D000818:Animals; D003881:Dermatomycoses / Q000382:microbiology*; D048909:Diabetes Complications; D005260:Female; D016469:Fungemia / Q000382:microbiology*; D006801:Humans; D007362:Intensive Care Units; D009089:Mucor / Q000302:isolation & purification*; D009203:Myocardial Infarction / Q000150:complications; D020096:Zygomycosis / Q000382:microbiology*