title: Fungemia and cutaneous zygomycosis due to Mucor circinelloides in an intensive care unit patient: case report and review of literature.
abstract: 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.
authors.affiliation: Department of Infectious Diseases, Gazi University School of Medicine, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Dizbay
authors.forename: Esra
authors.initials: E
authors.lastname: Adisen
authors.forename: Semra
authors.initials: S
authors.lastname: Kustimur
authors.forename: Nuran
authors.initials: N
authors.lastname: Sari
authors.forename: Bulent
authors.initials: B
authors.lastname: Cengiz
authors.forename: Burce
authors.initials: B
authors.lastname: Yalcin
authors.forename: Ayse
authors.initials: A
authors.lastname: Kalkanci
authors.forename: Ipek Isik
authors.initials: II
authors.lastname: Gonul
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugita
mesh_terms: 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*