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Rhinocerebral mucormycosis caused by Apophysomyces elegans
S R Brown1, I A Shah, M Grinstead
1Otolaryngology Section, Carl T. Hayden VA Medical Center, Phoenix, Arizona 85012, USA.
American Journal of Rhinology
|September 19, 1998
Summary
Mucormycosis, a severe fungal infection, can be caused by Apophysomyces elegans. Prompt surgical intervention led to recovery in a patient with rhinocerebral mucormycosis.
Area of Science:
- Mycology
- Infectious Diseases
- Ophthalmology
Background:
- Mucormycosis is a rare but aggressive fungal infection.
- Apophysomyces elegans is a newly recognized genus and species causing mucormycosis.
Observation:
- A 54-year-old man with a severe sinus infection developed rhinocerebral mucormycosis.
- The patient was undergoing treatment with antibiotics and oral steroids.
Findings:
- This is the second reported case of rhinocerebral mucormycosis due to Apophysomyces elegans.
- Recovery was achieved through prompt surgical debridement and drainage of maxillary sinuses.
- Infection characteristics included warm climate, soil contact, and rapid onset.
Implications:
- Apophysomyces elegans can infect immunocompetent individuals.
- Early surgical intervention is crucial for managing rhinocerebral mucormycosis.
- Further research into A. elegans epidemiology and treatment is warranted.