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Photoletter to the editor: Atypical primary cutaneous mucormycosis of the scalp
Ricardo García-Sepúlveda1, Josefina Navarrete-Solís1, Hiram Villanueva-Lozano2
1Dermatology Department, Instituto Mexicano del Seguro Social "Centro Médico Nacional del Noreste 25", Monterrey, Mexico.
Abstract:
Mucormycosis of the scalp is a rare cutaneous presentation of the disease. It is also an unusual infection in children. We present the case of a 4-year-old girl with acute lymphoblastic leukemia, who presented with atypical cutaneous mucormycosis simulating an ecthyma gangrenosum lesion. Risk factors for the infection are diabetes, neoplastic diseases, immunosuppression in organ transplant recipients, and neutropenia. The cutaneos forms have been associated with trauma, burns and surgical wounds. First line treatment is amphotericin B. Posaconazole was recently approved to treat invasive mucormycosis. Surgical removal of the infected tissue is indicated.
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