J Med Microbiol 56 (2007), 1243-1245; DOI: 10.1099/jmm.0.46993-0
© 2007 Society for General Microbiology
ISSN 1473-5644
Fatal post-traumatic zygomycosis in an immunocompetent young patient
Marina Kontogiorgi1,
Ioannis Floros1,
Apostolos Koroneos1,
Chrysanthi Vamvouka2,
Olga Paniara3,
Charis Roussos1 and
Christina Routsi1
1 Critical Care Department, Medical School of Athens University, Evangelismos Hospital, Athens, Greece
2 Department of Pathology, Evangelismos Hospital, Athens, Greece
3 Department of Clinical Microbiology, Evangelismos Hospital, Athens, Greece
Correspondence
Christina Routsi,
croutsi{at}hotmail.com
Received 8 October 2006
Accepted 5 March 2007
Zygomycosis, a relatively uncommon infection, usually occurs among immunocompromised individuals. It has been reported only rarely in trauma patients. A fatal case is reported of pulmonary and rapidly progressive cutaneous zygomycosis in a young, otherwise healthy farmer, with multiple bone fractures, wounds and soft tissue injuries after an accident with an agricultural machine in the field. Rhizopus spp. was isolated from both cultures of bronchial washings and wound samples. The diagnosis was confirmed by histopathological examination of tissue specimens from a large wound. Despite systemic antifungal therapy and surgical debridement, the patient's condition deteriorated and he died from refractory septic shock.
Abbreviations: CT, computed tomography.
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Copyright © 2007 Society for General Microbiology.