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Scholars Journal of Medical Case Reports | Volume-8 | Issue-05
Primary Breast Mucormycosis in Immunocompetent Patient - A Rare Case Report
Mahesh H. Karigoudar, Rashmi M. Karigoudar, Anirudha V Kushtagi, Ravikumar K Choudhari
Published: May 19, 2020 | 142 91
DOI: 10.36347/sjmcr.2020.v08i05.012
Pages: 543-545
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Abstract
Mucormycosis is a rare and emerging fungal infection, usually seen in immuno-compromised but can rarely affect immunocompetent persons. Uncontrolled diabetes is a well-known predisposing factor for mucormycosis. The most common reported sites of invasive mucormycosis are nasal sinuses, lungs, and skin. Fungal infections of the breast are uncommon even in patients with immunocompromised status. To the best of our knowledge, less than 10 cases of mammary mucormycosis have been reported till date in the literatures. This fungus invades the blood vessels leading to thrombosis that subsequently causes tissue necrosis and systemic dissemination with high mortality rate. Diagnosis of mucormycosis usually requires culture methods or histopathology. We report a rare case of 40 year old immuno-competent and previously healthy female patient who presented with soft painful mass in the right breast, cracked nipple and areola with the history of application of locally made medicinal paste to the lesion three weeks before consultation. She underwent simple mastectomy and histopathological examination revealed fungal hyphae confirming the diagnosis of Mucormycosis.