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Necrotizing cellulitis caused by Apophysomyces elegans at a patch test site.

Benjamin W Lesueur1, Karen Warschaw, Lorna Fredrikson

  • 1Mayo Clinic Scottsdale, Scottsdale, AZ, USA.

American Journal of Contact Dermatitis : Official Journal of the American Contact Dermatitis Society
|August 8, 2002
PubMed
Summary
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Patch testing with plants, like snapdragons, can diagnose contact dermatitis but rarely causes severe infections. A rare case of necrotizing cellulitis from Apophysomyces elegans occurred after plant patch testing.

Area of Science:

  • Dermatology
  • Mycology
  • Allergy Immunology

Background:

  • Plant materials are sometimes used in patch testing for diagnosing allergic contact dermatitis.
  • Adverse reactions to plant patch testing are exceptionally rare.

Observation:

  • A 68-year-old male with non-insulin-dependent diabetes and hand dermatitis underwent patch testing.
  • The patient had a patch test using a snapdragon plant from his garden.

Findings:

  • The patient developed severe necrotizing cellulitis at the patch test site.
  • The infection was caused by Apophysomyces elegans, a type of mucormycosis.

Implications:

  • This case highlights a rare but severe potential complication of plant material patch testing.

Related Experiment Videos

  • Clinicians should be aware of unusual infections, including mucormycosis, following dermatological procedures.
  • Early recognition and treatment are crucial for managing severe necrotizing infections.