A Black Necrotic Skin Lesion in an Immunocompromised Patient

Primary cutaneous mucormycosis in a lung transplant recipient: case report and concise review of the literature

“…This finding may mean that patients with primary cutaneous mucormycosis will manifest their infection earlier after transplantation than will patients with other forms of the disease. Consistent with this hypothesis, the median time to presentation in this subset of patients was 23 days (range 4–150 days) following transplantation or, in a minority of cases, following intervention (renal biopsy) or injury (Table 1) (8–13, 16, 18–32). In a review of all SOT recipients with mucormycosis, the median time to onset following transplantation was 60 days, but with a wide range from 1 to 2920 days (6).…”

Zygomycosis in Solid Organ Transplant Recipients in a Tertiary Transplant Center and Review of the Literature

“…Table 1 summarizes the demographics, clinical presentation, treatment and outcome of the 10 patients. Information from additional 106 patients was added from the literature review (9–92).…”

“…Of the 18 cases of cutaneous zygomycosis (n = 18, 15.5%), 8 (44.4%) developed lesions at surgical wounds or drains (13,49,50,59,71,80), 4 (22.2%) at intravenous catheter site (48,52,68,78), 1 (5.5%) at a renal biopsy tract (77), 1 (5.5%) after skin trauma (51) and in 4 (22.2%) there was no history of trauma to the skin or use of adhesive tape (28,32,55,67). Lesions appeared often as black necrotic with surrounding cellulitis, thrombophlebitis or extension to deeper structures.…”

Prolonged and Resistant Cutaneous Infection in Newly Transplanted Renal Patient

“…A review of 929 cases of Zygomycosis had cutaneous involvement in 19% [5]. Different presentations has been described: ecthyma-like lesions and black necrotic cellulitis [6], purulent discharging sinus at the surgical incision site [7] and erythema-nodosum-like lesions [8].…”