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All Journal Medical Journal of Indonesia Berkala Ilmu Kesehatan Kulit dan Kelamin Collaborative Medical Journal (CMJ) ASEAN Journal of Community Engagement JOURNAL LA MEDIHEALTICO eJournal Kedokteran Indonesia Media Dermato-Venereologica Indonesiana Journal of General Procedural Dermatology and Venereology Indonesia Jurnal Inovasi dan Teknologi Pendidikan
Sandra Widaty
Faculty Of Medicine University Of Indonesia/ Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Difficulties in diagnosing primary cutaneous mucormycosis: Excluding mycobacterium other than tuberculosis Indah, Chinda Liaska; Menaldi, Sri Linuwih Susetyo Wardhani; Sirait, Sondang Pandjaitan; Widaty, Sandra
Journal of General - Procedural Dermatology and Venereology Indonesia Vol. 9, No. 2
Publisher : UI Scholars Hub

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Abstract

Background: Mucormycosis is a rare fungal infection caused by a group of opportunistic fungi from the class Zygomycetes. Primary cutaneous mucormycosis is the most common type of mucormycosis in immunocompetent patients. This study reported a case of primary cutaneous mucormycosis with nonspecific clinical characteristics and various supporting examinations. The patient was successfully treated with in toto excision and oral ketoconazole. Case Illustration: A 40-year-old female presented with purplish-red spots and painless lumps on the second finger of her right hand, which had been present for a year. She had a history of frequent fish tank cleaning and gardening but denied any known injury. Physical examination revealed multiple well-circumscribed and confluent erythematous-violaceous plaques and nodules. An in toto excisional biopsy was performed for histopathological examination, culture, and a rapid molecular test (RMT) using the Xpert MTB/RIF® test (Cepheid, USA). Histopathological examination revealed granulomatous suppurative inflammation, and fungal culture revealed growth of Mucor species. Discussion: Clinical findings in cutaneous mucormycosis are nonspecific. The diagnosis is confirmed by identifying the organism through biopsy and histopathological examination, as well as culture. Histopathology will reveal granulomas in the dermis and subcutis containing numerous macrophages and Langhans giant cells, often with phagocytosed fungal elements. Fungal culture yields positive results in 72–89% of cases of skin mucormycosis conducted on Sabouraud and potato dextrose agar media. Conclusion: This case emphasizes the need for broad differential consideration and thorough diagnostic workup in nonspecific cutaneous mucormycosis and supports surgical excision with systemic antifungal therapy for chronic, localized primary disease.
Co-Authors Andira Hardjodipuro Hardjodipuro Anna Rozaliyani Aria Kekalih Ariyati Yosi Artini Wijayanti Islami Bianti, Marsha Cornain, Emilina Faradila Darmawan, Irene Dewi Friska Dewi Lestarini Diantha, Soemantri Dini Daniaty Eliza Miranda Eliza Miranda Eliza Miranda Githa Rahmayunita Hamzah Hamzah Hanny Nilasari Hansen Angkasa Hartanto, David Dwiadiputra Henry Wan-Peng Lim Herwinda Brahmanti Huda Marlina Wati Indah, Chinda Liaska Irma Bernadette Islami, Artini Wijayanti Joanne Natasha Joses Saputra Kartika, Emiliana Keiko Gunardi Krisanti, Roro Inge Ade Kusmarinah Bramono Lili Legiawati Lili Legiawati Lili Legiawati Lim, Henry W Lis Surachmiati Luddwi Achmad Rizky M. Yulianto Listiawan Marissa, Melani Marsha Bianti Martinus Martinus Melinda, Thong Felicia Menaldi, Sri Linuwih Susetyo Wardhani Mochamad H Azis Mufqi Handaru Priyanto Mustika, Rita Novita Suprapto Nuary, Teffy Nugraheni Pasaribu, Uly Aanda Maria Oktarina, Caroline Oktavia, Nikken Rima Pandelaki, Paulus Anung Anindita Purnawan, Shafira Anindya Rahadi Rihatmadja Rhida Sarly Amalia Rilanda, Risa Rinadewi Astriningrum Rita Mustika Rizky, Luddwi Achmad Robiatul Adawiyah Saleha Sungkar Sammy Yahya Sari, Siti Maulidya Shannaz Nadia Yusharyahya Sirait, Sondang Panjaitan Situmeang, Irhen Sondang Pandjaitan Sirait Sri L. Menaldi Sri Linuwih Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Sri Wahdini Sujudi, Yufanti Surachmiati Suseno, Lis Suryanti Teffy Nuary Triana Agustin Tugiran, Mulyati Wati, Huda Marlina Windy Keumala Budianti Yahya, Sammy Yenny Rachmawati Yosi, Ariyati Yudo Irawan Yudo Irawan