title: A case of Apophysomyces trapeziformis necrotizing soft tissue infection.
abstract: Mucormycosis is a rare and devastating disease. Apophysomyces trapeziformis is an environmental mold that was recently implicated in several cases of cutaneous and soft tissue mucormycosis in victims of a tornado in Joplin, Missouri. Here, we report a case of Apophysomyces trapeziformis necrotizing soft tissue infection in a resident of Joplin 10 months after the disaster and without preceding trauma. Aspects of histological and microbiological diagnosis are also reviewed.
authors.affiliation: Division of Infectious Diseases, Washington University School of Medicine, 660 S. Euclid, St. Louis, MO 63110, USA. Electronic address: jechaiz@dom.wustl.edu.
authors.forename: Jose F
authors.initials: JF
authors.lastname: Echaiz
authors.forename: Carey-Ann D
authors.initials: CA
authors.lastname: Burnham
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Bailey
mesh_terms: D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009090:Mucorales / Q000145:classification / Q000235:genetics / Q000302:isolation & purification*; D009091:Mucormycosis / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D009336:Necrosis; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology* / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome
keywords: Apophysomyces trapeziformis; Infection; Mucormycosis; Necrotizing