Primary Cutaneous Mucormycosis of the Neck:A CaseReport with Review of Literature

Abstract

Background: Cutaneous mucomycosis is an invasive fungal infection that usually develops in the immunodeficient patients. Although it also occurs in cases without underlying disease. So far in Iran and the world, primary cutaneous mucormycosis of the neck without predisposing factor has not been reported. Materials and Methods: In this case,we present a 51 years old patient with progressive neck swelling and skin necrosis without any underlying disease. Firstly, treated as Ludwig Angina and necrotizing fasciitis. Finally diagnosed as neck mucormycosis according to pathologic result. systemic antifungal treatment and multiple surgical debridements with close intervals performed for him. Results: Primary cutaneous mucormycosis should be considered in any case of cutaneous necrosis ,even without underlying disease. A multidisciplinary approach is essential to improve survival rate of neck mucormycosis patients. Conclusion: Rapid diagnosis and initiation of systemic antifungal therapy along with invasive surgical debridement can improve survival rate and subsequent soft tissue reconstruction of the neck mucormycosis in patients without underlaying disease.

Keywords

• neck mucormycosis
• neck necrosis
• surgical debridement
• amphotericin b