case_images: PMC10966995_01
case_images: Progression of the patient's lesion in the right forearm at the second presentation. There was a new 3.5 cm x 3.5 cm eschar with surrounding erythema that was tender to palpation.
case_images: 10.1177_20499361241241199-fig1.jpg
case_images: PMC10966995_01_10.1177_20499361241241199-fig1.jpg
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case_images: Four days later, the patient presented again with persistent erythema and a new ulcerated lesion with eschar in the center (Figure 1).
case_images: Histological sections of tissues are removed during debridement. (a) It demonstrates non-septate fungal hyphae in the central necrosis (arrow right) and within a giant cell (arrow top left) (400x). (b) It shows a higher magnification of the giant cells with the hyphal fragments (400x). (c) It shows staining of fungal hyphae with the Gomori methenamine silver stain (400x).
case_images: 10.1177_20499361241241199-fig2.jpg
case_images: PMC10966995_01_10.1177_20499361241241199-fig2.jpg
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case_images: Tissue specimens from the debridement showed non-septate fungal hyphal elements consistent with a Mucorales species (Figure 2).
case_images: Appearance of right forearm lesion 9 months after debridement with full-thickness skin graft and 3 months of posaconazole therapy.
case_images: 10.1177_20499361241241199-fig3.jpg
case_images: PMC10966995_01_10.1177_20499361241241199-fig3.jpg
case_images: fig3-20499361241241199
case_images: At the time of subsequent outpatient follow-up 9 months later, his arm lesion had completely healed (Figure 3).