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Fatal cellulitis caused by Apophysomyces elegans.

A J Kindo1, N R Shams, K Kumar

  • 1Department of Microbiology, Sri Ramachandra Medical College and Research Institute, Chennai - 600 116, India. anupmalakra@yahoo.com

Indian Journal of Medical Microbiology
|September 29, 2007
PubMed
Summary
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A rare facial cellulitis caused by Apophysomyces elegans, a soil fungus, occurred after a road accident. Despite aggressive treatment, the infection rapidly spread, leading to a fatal outcome.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Zygomycete infections, particularly those caused by Apophysomyces elegans, are rare but can be aggressive.
  • Facial infections following trauma can have severe consequences.

Observation:

  • A healthy male developed left lateral facial cellulitis after a road traffic accident.
  • The causative agent was identified as the zygomycete Apophysomyces elegans, likely acquired from contaminated soil.
  • Microscopic examination revealed broad aseptate fungal hyphae in necrosed tissue.

Findings:

  • Extensive tissue debridement and amphotericin B treatment were ineffective against the rapidly progressing fungal invasion.
  • The patient experienced angioinvasion and severe cellulitis.

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Implications:

  • This case highlights the aggressive nature of Apophysomyces elegans infections, even in immunocompetent individuals.
  • It underscores the importance of considering rare fungal pathogens in severe post-traumatic infections.
  • The limited efficacy of standard treatments necessitates further research into novel therapeutic strategies for zygomycoses.