Ricardo García-Sepúlveda, Josefina Navarrete-Solís, Hiram Villanueva-Lozano, Rogelio de J Treviño-Rangel, Gloria M González, Jorge Enríquez-Rojas, Javier Molina-Durazo, Roberto Arenas-Guzmán
{"title":"Photoletter to the editor: Atypical primary cutaneous mucormycosis of the scalp.","authors":"Ricardo García-Sepúlveda, Josefina Navarrete-Solís, Hiram Villanueva-Lozano, Rogelio de J Treviño-Rangel, Gloria M González, Jorge Enríquez-Rojas, Javier Molina-Durazo, Roberto Arenas-Guzmán","doi":"10.3315/jdcr.2017.1248","DOIUrl":null,"url":null,"abstract":"<p><p>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 <i>ecthyma gangrenosum</i> 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.</p>","PeriodicalId":15601,"journal":{"name":"Journal of dermatological case reports","volume":"11 2","pages":"32-34"},"PeriodicalIF":0.0000,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5776029/pdf/jdcr-11-032.pdf","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of dermatological case reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3315/jdcr.2017.1248","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1
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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