title: Fatal primary cutaneous zygomycosis caused by Saksenaea vasiformis: case report and review of literature.
abstract: BACKGROUND
  Primary cutaneous zygomycosis caused by Saksenaea vasiformis is rare. Such infections usually are not suspected, and delay in their diagnosis and treatment results in a poor outcome.
  
  
  METHODS
  Case report and review of the relevant English-language literature.
  
  
  RESULTS
  A fulminant cutaneous infection developing after intramuscular injection in the gluteal region of a 60-year-old female patient is described. The hallmark of this uncommon infection was the rapidity with which the skin and subcutaneous tissues of the right gluteal and lower abdominal regions underwent necrosis. The infection remained undiagnosed for nearly two weeks, leading to a fatal outcome.
  
  
  CONCLUSIONS
  Awareness of the fact that fungi can also be the cause of cutaneous infections, as well as a high index of suspicion in patients who do not respond to conventional therapy, should help in the early diagnosis and management of such infections and may help in reducing the mortality rate.
authors.affiliation: Department of General Surgery, Government Medical College Hospital, Chandigarh, India.
authors.forename: Robin
authors.initials: R
authors.lastname: Kaushik
authors.forename: Jagdish
authors.initials: J
authors.lastname: Chander
authors.forename: Sanjay
authors.initials: S
authors.lastname: Gupta
authors.forename: Rajeev
authors.initials: R
authors.lastname: Sharma
authors.forename: Rajpal Singh
authors.initials: RS
authors.lastname: Punia
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003646:Debridement; D057210:Delayed Diagnosis; D003881:Dermatomycoses / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D008875:Middle Aged; D009091:Mucormycosis / Q000175:diagnosis* / Q000601:surgery
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B