RESUMO
A case of zygomycosis presenting with non-healing multiple discharging sinuses in a diabetic patient is reported here. The debrided tissue on histopathological examination revealed dense infiltration with aseptate fungal hyphae. Potassium hydroxide mount showed hyaline aseptate hyphae suggestive of zygomycosis. On culture, Absidia corymbifera was isolated. The patient responded to surgical debridement and therapy with amphotericin B followed by itraconazole.
Assuntos
Absidia/efeitos dos fármacos , Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Cicatriz/etiologia , Diagnóstico Diferencial , Humanos , Itraconazol/uso terapêutico , Úlcera da Perna/etiologia , Masculino , Pessoa de Meia-Idade , Zigomicose/complicaçõesRESUMO
A case of cellulitis of the left lateral side of the face caused by the zygomycete Apophysomyces elegans in a healthy male following a road traffic accident is reported. The contaminated soil was the source of fungus. Broad aseptate fungal hyphae were seen in the necrosed tissues. Extensive tissue debridement and treatment with amphotericin B were not successful in controlling the rapid invasion of the tissues by the fungus. Patient developed angioinvasion, severe cellulitis and finally succumbed to the infection three weeks after admission.