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Case Report

Apophysomyces elegans causing acute otogenic cervicofacial zygomycosis involving salivary glands

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Pages 457-461 | Received 30 Sep 2006, Published online: 09 Jul 2009
 

Abstract

Zygomycosis is an invasive, life threatening fungal infection that usually affects immunocompromised hosts. In the head and neck region, rhino-orbito-cerebral zygomycosis is more common than the cervicofacial variety. We report the first case of otogenic cervicofacial zygomycosis caused by Apophysomyces elegans involving the salivary glands, an uncommon site of infection. The case began after a trivial trauma in a diabetic patient and despite surgical debridement and liposomal amphotericin B therapy, the patient died due to extensive involvement and metabolic/hemodynamic complications.

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