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Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e31822b7df2
Review Articles

Follicular Zygomycosis: A Potentially Benign Form of Cutaneous Zygomycosis Infection

Vidal, Claudia I. MD, PhD*; Kleinerman, Rebecca MD‡; Shin, Yoon Chul MD*; Levitt, Jacob MD‡; Phelps, Robert G. MD†‡; Birgé, Miriam B. MD†

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Abstract

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.

© 2011 Lippincott Williams & Wilkins, Inc.

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