title: Lichtheimia ramosa: A Fatal Case of Mucormycosis.
abstract: Mucormycosis due to Lichtheimia ramosa is an infrequent opportunistic infection that can potentially be angioinvasive when affecting inmunocompromised hosts. We present a fatal case of mucormycosis, affecting a 56-year-old male with diabetes mellitus and siderosis, initially admitted to our hospital due to an H1N1 infection. The subject's clinical condition worsened and he finally died because of a necrotizing bilateral pneumonia with disseminated mycotic thromboses due to Lichtheimia ramosa, which is an emerging Mucoralean fungus. This is an infrequent case because of the extent to which it affected a subject without overt immunocompromise. This case underlines the importance of an early premortem diagnosis and treatment in order to prevent rapid progression of this disease, as well as the need of considering mucormycosis when facing subjects with multiple emboli and fever unresponsive to usual antimicrobials.
authors.affiliation: Pulmonary Department, Hospital Álvaro Cunqueiro, EOXI Vigo, NeumoVigoI+i Research Group, Vigo Biomedical Research Institute (IBIV), Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Mouronte-Roibás
authors.affiliation: Pulmonary Department, Hospital Álvaro Cunqueiro, EOXI Vigo, NeumoVigoI+i Research Group, Vigo Biomedical Research Institute (IBIV), Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Virginia
authors.initials: V
authors.lastname: Leiro-Fernández
authors.affiliation: Pulmonary Department, Hospital Álvaro Cunqueiro, EOXI Vigo, NeumoVigoI+i Research Group, Vigo Biomedical Research Institute (IBIV), Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Maribel
authors.initials: M
authors.lastname: Botana-Rial
authors.affiliation: Pulmonary Department, Hospital Álvaro Cunqueiro, EOXI Vigo, NeumoVigoI+i Research Group, Vigo Biomedical Research Institute (IBIV), Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Ramos-Hernández
authors.affiliation: Critical Care Department, Hospital Álvaro Cunqueiro, EOXI Vigo, Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Guillermo
authors.initials: G
authors.lastname: Lago-Preciado
authors.affiliation: Pathology Department, Hospital Álvaro Cunqueiro, EOXI Vigo, Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Concepción
authors.initials: C
authors.lastname: Fiaño-Valverde
authors.affiliation: Pulmonary Department, Hospital Álvaro Cunqueiro, EOXI Vigo, NeumoVigoI+i Research Group, Vigo Biomedical Research Institute (IBIV), Estrada Clara Campoamor No. 341, 36312 Vigo, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Fernández-Villar
mesh_terms: D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009091:Mucormycosis / Q000000981:diagnostic imaging / Q000382:microbiology*; D014057:Tomography, X-Ray Computed