J Med Microbiol International Journal of Systematic and Evolutionary Microbiology
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J Med Microbiol 56 (2007), 699-701; DOI: 10.1099/jmm.0.47069-0
© 2007 Society for General Microbiology
ISSN 1473-5644

Case Report

Rhizopus microsporus var. rhizopodiformis sinus–orbital zygomycosis in an immunosuppressed patient: successful treatment with posaconazole after a complicated clinical course

D. Stark1, S. Milliken2, D. Marriott1 and J. Harkness1

1 Department of Microbiology, St Vincent's Hospital, Sydney, Australia

2 Department of Haematology, St Vincent's Hospital, Sydney, Australia

Correspondence
D. Stark
dstark{at}stvincents.com.au

Received 13 November 2006
Accepted 10 January 2007

A case of sinus–orbital Rhizopus microsporus var. rhizopodiformis infection in a patient with graft versus host disease following allogeneic blood stem cell transplantation is reported. Commercially available pea straw compost used for gardening was suspected to be the source of the infection. After an initial relapse, treatment with surgical debridement, liposomal amphotericin B and posaconazole was successful.

Abbreviations: ITS, internal transcribed spacer.




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