Purple patches in an immunocompromised patient: a report of secondary disseminated cutaneous mucormycosis in a man with chronic lymphocytic leukemia.
A 60-year-old man with chronic lymphocytic leukemiadeveloped a deeply violaceous annular patchwith a halo of erythema on the right thigh duringhospitalization for neutropenic fever. Associatedsymptoms included chronic cough and fatigue.Bilateral lung opacities with hilar lymphadenopathywere noted on chest computed tomographyscan. Punch biopsy and tissue culture confirmeda diagnosis of secondary disseminated cutaneousmucormycosis. Although rare, physicians shouldinclude mucormycosis in the differential diagnosisof purpuric patches in immunosuppressed patients.Prompt skin biopsy and tissue culture may optimizethe success of treatment.
Sanjana
S
Iyengar
Cindy J
CJ
Chambers
Jillian W
JW
Millsop
Maxwell A
MA
Fung
Department of Dermatology, Hofstra Northwell School of Medicine, New Hyde Park, New York.
Victoria R
VR
Sharon
D020520:Brain Infarction / Q000000981:diagnostic imaging / Q000209:etiology; D002526:Cerebellar Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000276:immunology; D003881:Dermatomycoses / Q000150:complications / Q000175:diagnosis* / Q000276:immunology / Q000473:pathology; D006801:Humans; D016867:Immunocompromised Host; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000150:complications / Q000276:immunology*; D000072281:Lymphadenopathy / Q000000981:diagnostic imaging / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009091:Mucormycosis / Q000150:complications / Q000175:diagnosis* / Q000276:immunology / Q000473:pathology; D013848:Thigh; D013909:Thorax; D014057:Tomography, X-Ray Computed