皮膚毛黴菌病是一種少見的黴菌感染,主要發生在免疫功能不全及糖尿病患者,假如延遲治療的話會導致死亡。此病也可發生於健康患者在局部受傷之後。在此吾人報告一位皮膚毛黴菌感染病例,臨床表現為一疼痛紅色丘疹並快速地進展成壞死性潰瘍合併焦痂形成。治療以廣泛外科清創、靜脈注射amphotericin B及口服itraconazole。經七個月追蹤後無再發現象。
Cutaneous mucormycosis is an uncommon fungal infection, occurring mainly in immunosuppressed and diabetic patients, leading to mortality if adequate treatment is delayed. It could also happen in normal health person after localized trauma. Here we report a case of cutaneous mucormycosis manifesting as a painful erythematous papule, rapidly progressing to necrotic ulcer with eschar formation. Treatment was initiated with extensive surgical debridement, intravenous amphotericin B, and oral itraconazole. No recurrence was found at 7 months follow-up.