title: Subcutaneous mucor zygomycosis with potential life-threatening visceral complication.
abstract: A mass in right supraclavicular fossa in a diabetic patient mimicking tuberculosis (TB) adenitis that ultimately proved to be subcutaneous zygomycosis. A high degree of clinical suspicion is needed for diagnosis especially when these lesions occur at typical sites for the more common indolent infections like TB. This case is being presented not only because of its rarity, but to emphasize the role of early diagnosis and appropriate treatment to prevent serious complications due to proximity to major structures. Fluconazole was used despite not being the ideal drug, solely due to cost constraints. Our patient responded well. However, we do emphasize that response to fluconazole is the exception rather than the rule.
authors.affiliation: Department of Surgery, Indira Gandhi Medical College and Research Institute, Pondicherry, India.
authors.forename: M
authors.initials: M
authors.lastname: Hanifah
authors.forename: G
authors.initials: G
authors.lastname: Balachandran
authors.forename: N G
authors.initials: NG
authors.lastname: Rajesh
mesh_terms: D000935:Antifungal Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000150:complications* / Q000382:microbiology; D048909:Diabetes Complications; D015725:Fluconazole / Q000627:therapeutic use; D006651:Histocytochemistry; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009089:Mucor / Q000302:isolation & purification*; D009091:Mucormycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D009333:Neck / Q000000981:diagnostic imaging; D011859:Radiography; D040521:Subcutaneous Tissue / Q000382:microbiology* / Q000473:pathology; D016896:Treatment Outcome
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole