Korean J Dermatol.  2006 Nov;44(11):1352-1356.

Primary Cutaneous Mucormycosis in a Immunocompetent Elderly Woman Showing Sporotrichoid Distribution

• Seo SH
• Jang HS
• Kim SJ
• Kim BS
• Jang BS
• Kim MB
• Oh CK
• Kwon KS

Abstract

Primary cutaneous mucormycosis, a rare form of mucormycosis, develops where a break in the integrity of the skin has occurred as a result of surgery, burns, or other forms of trauma. It is mainly seen in immunocompromised hosts, but can sometimes also occur in immunocompetent hosts too. Various kinds of pathogens including viruses, bacteria, nontuberculous mycobacteria, protozoa, and fungi can show a sporotrichoid spread. However, there has been no report of mucormycosis showing a sporotrichoid distribution. We report a case of primary cutaneous mucormycosis occurring on the dorsal aspect of the right wrist in a 69-year-old immunocompetent woman. In our case, newlydeveloped lesions were distributed in sporotrichoid pattern 5 months after the initial lesion. The patient was successfully treated with a combined therapy of amphotericin B and itraconazole.

Keyword

Amphotericin B; Immunocompetent; Itraconazole; Primary cutaneous mucormycosis; Sporotrichoid distribution

MeSH Terms

Aged*
Amphotericin B
Bacteria
Burns
Female
Fungi
Humans
Immunocompromised Host
Itraconazole
Mucormycosis*
Nontuberculous Mycobacteria
Skin
Wrist
Amphotericin B
Itraconazole