Document Detail

Indolent cutaneous mucormycosis with pulmonary dissemination in an asthmatic patient: survival after local debridement and amphotericin B therapy.
MedLine Citation:
PMID:  10870324     Owner:  NLM     Status:  MEDLINE    
We describe a 68-year-old asthmatic female patient with multiple pulmonary cavities. A preexisting ecthyma on the left lower leg became erythematous and swollen during exacerbation of her asthma which was under treatment with high-dose steroids. Nonseptate broad hyphae were found in her sputum, pus from the wound, and debrided skin tissue. Hematogenous spread of septic emboli from indolent cutaneous mucormycosis to both lungs was the suspected mechanism of dissemination. High-dose steroid therapy may have been the major contributory factor. The patient was successfully treated with local surgical debridement of the wound and intravenous amphotericin B.
C L Wu; W H Hsu; C M Huang; C D Chiang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  99     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-07-17     Completed Date:  2000-07-17     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  CHINA (REPUBLIC: 1949- )    
Other Details:
Languages:  eng     Pagination:  354-7     Citation Subset:  IM    
Department of Internal Medicine, Taichung Veterans General Hospital, Taiwan.
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MeSH Terms
Amphotericin B / therapeutic use*
Antifungal Agents / therapeutic use*
Asthma / complications*
Dermatomycoses / complications,  therapy*
Lung Diseases, Fungal / therapy*
Mucormycosis / complications,  therapy*
Reg. No./Substance:
0/Antifungal Agents; 1397-89-3/Amphotericin B

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