Apophysomyces elegans Caused Rhino-Orbito Mucormycosis: An Emerging Infection in Immunocompetent Individuals

Autor: Singh, N. Dhaneshwor, Sharma, Nishi, Dawa, Lobzang, Malhotra, Shalini
Rok vydání: 2017
Předmět:
Zdroj: Volume: 07, Issue: 04 207-212
Journal of Microbiology and Infectious Diseases
ISSN: 2146-3158
2146-9369
Popis: Mucormycosis is a rarenecrotizing angioinvasive infection caused by fungi of the class Zygomycetes(order Mucorales). It predominantly occurs in immunocompromised/ predisposedindividuals. Recent surge in its incidence in healthy individuals has emphasizedthe need to reconsider our age-old presumption of 'mucormycosis as a classicalopportunistic infection'. Apophysomyces elegans has emerged as a pathogencausing invasive Rhino-Orbitocerebral Mucormycosis (ROCM), mostly inimmunocompetent individuals. Mostly resistant to commonly used azoles andechinocandins, management of A elegansassociated ROCM solely depends on radical debridement and Amphotericin B.Recent reports of Amphotericin B resistant Aelegans strains is disturbing. Till date only 12 cases of ROCM inimmunocompetent/ otherwise healthy individuals attributable to A elegans has been reported.Our main objective is todelineate the clinical characteristics and treatment outcome ofimmunocompentent/ otherwise healthy individuals suffering from A elegans caused ROCM. We also reportfour new cases of A. elagans caused ROCM.J Microbiol Infect Dis 2017; 7(4):207-212
Databáze: OpenAIRE