Cutaneous Mucormycosis. Report of a Case and Review of the Literature in Japan.:Report of a Case and Review of the Literature in Japan
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概要
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A 61-year-old Japanese woman was admitted to the hospital on December 13, 1988, because of severe brain contusion sustained in a traffic accident. She was unconscious, febrile, and sweating profusely. She was administered intravenous cefazolin sodium and prednisolone daily, and on the 10th day of hospitalization, clusters of pustules and crusts were observed on her back. Potassium hydroxide preparations of the crust specimens revealed numerous nonseptate branching mucoraceous hyphae. Biopsy specimens from the pustules showed abscess formed around partially destroyed hair follicles and numerous hyphal cross sections within the abscess. The causative organism was isolated from the pustules in pure cultures and identified as Rhizopus arrhizus Fischer. She died of respiratory failure on the 16th day; no autopsy was performed.The cutaneous lesions in this patient were apparently primary cutaneous mucormycosis. Thirteen cases of cutaneous mucormycosis reported to date in Japan are reviewed.
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