An unusual presentation of rhinofacial zygomycosis due to Cunninghamella sp. in an immunocompetent patient: a case report and literature review

Oral Dis. 2006 Jan;12(1):67-9. doi: 10.1111/j.1601-0825.2005.01154.x.

Abstract

Zygomycosis is a rare fungal infection usually found in immunocompromised patients. It is a rapidly progressing infection with a high mortality rate. Our report describes an unusual case of rhinofacial zygomycosis due to Cunninghamella sp. in an immunocompetent patient, who presented with a slowly progressive swelling of the left cheek. An interrupted course of amphotericin B treatment caused regression of the lesion. Drug therapy was abandoned due to impairment of renal function. The patient was clinically and radiologically disease free for 2 years following cessation of therapy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Acute Kidney Injury / chemically induced
  • Adult
  • Amphotericin B / adverse effects
  • Amphotericin B / therapeutic use
  • Antifungal Agents / adverse effects
  • Antifungal Agents / therapeutic use
  • Cunninghamella / pathogenicity*
  • Humans
  • Hyphae
  • Immunocompetence
  • Male
  • Maxillary Sinus / microbiology
  • Mucormycosis / drug therapy
  • Mucormycosis / microbiology*
  • Paranasal Sinus Diseases / drug therapy
  • Paranasal Sinus Diseases / microbiology*
  • Spores, Fungal

Substances

  • Antifungal Agents
  • Amphotericin B