• Surgical infections · Jan 2002

    Case Reports

    Systemic Apophysomyces elegans after trauma: case report and literature review.

    • Jue Wang, Charles M Harvey, Jason H Calhoun, Li-Yan Yin, and Jon T Mader.
    • Division of Surgical Infectious Disease, University of Texas Medical Branch, Galveston, Texas 77550-1115, USA. juewang@utmb.edu
    • Surg Infect (Larchmt). 2002 Jan 1;3(3):283-9.

    AbstractWe present a case of systemic fungal infection caused by Apophysomyces elegans in a 50-year-old patient who developed a progressive skin lesion after a motor vehicle crash. Histopathological and mycological examination of the surgical sample showed non-septated hyphae characteristic of mucoraceous fungi. Despite extensive surgical debridement, and parenteral administration of amphotericin B, the patient died of multi-organ failure. Autopsy findings suggested systemic involvement. The fungi recovered from culture had non-apophyseal and globose sporangi, and branched sporaniophores and was identified as Apophysomyces elegans.

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