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A rare case of mucormycosis in the scalp

Mehmet Harman1, Derya Uçmak1, Tuba Dal2

  • 1Department of Dermatology. Faculty of Medicine. Dicle University. Diyarbakir. Turkey.

Acta Medica Portuguesa
|January 7, 2014
PubMed
Abstract

Insights

This case highlights a rare instance of cutaneous mucormycosis affecting the scalp, leading to vision loss in a diabetic patient. Early diagnosis and treatment are crucial for managing this life-threatening fungal infection.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Mucormycosis is a severe fungal infection with high mortality.
  • Primary cutaneous mucormycosis is an uncommon presentation.
  • Diabetes mellitus is a significant risk factor for invasive fungal infections.

Observation:

  • A 54-year-old diabetic woman presented with a scalp wound and purulent discharge.
  • Clinical examination revealed an ulcerated, necrotic lesion on the scalp with extension to the periorbital area.
  • The patient experienced vision loss in the affected eye.

Findings:

  • Biochemical tests showed hyperglycemia and ketonuria.
  • Microscopic examination of smears revealed characteristic thick-walled, non-septate hyphae.
  • Culture identified Rhizopus species as the causative agent.

Implications:

  • Prompt diagnosis of cutaneous mucormycosis is vital for patient survival.
  • Aggressive management including antifungal therapy and glycemic control is essential.
  • This case underscores the importance of considering mucormycosis in immunocompromised patients with rapidly progressive skin lesions.

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