A rare cutaneous infection in a chronic intra-muscular drug abuser

Abstract

After rhinocerebral and pulmonary, mucormycosis affecting the skin is considered to be the third most common type of mucormycosis. It has varied presenting features and hence it is important to make a diagnosis early to achieve better outcomes. Although a large proportion of published cases have no underlying disease, it is most commonly associated with diabetes and blood malignancies. The mode of infection is usually due to cutaneous trauma, while the rest of the cases are health-care associated. Apophysomyces spp are usually seen in Asia, while Rhizopus is the most common genus in Europe, North America and South America. It is usually treated with antifungals like amphotericin B and/or surgery. In this article, we presented a case of a middle aged immune-competent female with a history of recurrent intramuscular and intravenous drug usage presenting with cutaneous mucormycosis.