Cutaneous zygomycosis is a rare disease usually associated with a high rate of mortality and morbidity due to the angioinvasive properties of the fungus. We report an unusual case of cutaneous zygomycosis that involved only the hair follicle. In lieu of the more typical treatment of surgical debridement with adjunctive intravenous or oral antifungal therapy, this case was treated conservatively with topical miconazole and immune reconstitution, by discontinuing immunosuppressant medication, because of the limited nature of the infection. We propose that follicular zygomycosis is a potentially benign form of cutaneous infection that can be treated by topical therapy alone.
From the *Department of Dermatology, Saint Louis University, Saint Louis, MO; and Departments of †Pathology and ‡Dermatology, Mount Sinai School of Medicine, New York, NY.
Correspondence to: Claudia I. Vidal, MD, PhD, Department of Dermatology, Saint Louis University, 1755 S Grand Blvd, Saint Louis, MO. E-mail: email@example.com.
The authors have no funding or conflicts of interest to disclose.