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Year : 2013  |  Volume : 31  |  Issue : 2  |  Page : 182-184

Subcutaneous mucor zygomycosis with potential life-threatening visceral complication

1 Department of Surgery, Indira Gandhi Medical College and Research Institute, Pondicherry, India
2 Department of General Medicine, Mahatma Gandhi Medical College, Pondicherry, India
3 Department of Radiology, Indira Gandhi Government General Hospital, Pondicherry, India
4 Department of Pathology, JIPMER, Pondicherry, India

Correspondence Address:
Department of Surgery, Indira Gandhi Medical College and Research Institute, Pondicherry
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0255-0857.115226

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A mass in right supraclavicular fossa in a diabetic patient mimicking tuberculosis (TB) adenitis that ultimately proved to be subcutaneous zygomycosis. A high degree of clinical suspicion is needed for diagnosis especially when these lesions occur at typical sites for the more common indolent infections like TB. This case is being presented not only because of its rarity, but to emphasize the role of early diagnosis and appropriate treatment to prevent serious complications due to proximity to major structures. Fluconazole was used despite not being the ideal drug, solely due to cost constraints. Our patient responded well. However, we do emphasize that response to fluconazole is the exception rather than the rule.


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2004 - Indian Journal of Medical Microbiology
Published by Wolters Kluwer - Medknow

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