Demodex mites have been reported in the past as a cause of facial rash in immunosuppressed patients. Here, we report an interesting case of possible demodicosis associated with rhinocerebral mucormycosis. The association of mites with a fungus was detected on direct microscopic examination of the scrapings of a nasal ulcer. The mite and the fungus were identified as Demodex folliculorum and Apophysomyces elegans species complex, respectively.
AlvarezE.,
StchigelA. M.,
CanoJ.,
SuttonD. A.,
FothergillA. W.,
ChanderJ.,
SalasV.,
RinaldiM. G.,
GuarroJ.2010; Molecular phylogenetic diversity of the emerging mucoralean fungus Apophysomyces: proposal of three new species. Rev Iberoam Micol 27:80–89 [View Article][PubMed]
BikowskiJ. B.,
Del RossoJ. Q.2009; Demodex dermatitis: a retrospective analysis of clinical diagnosis and successful treatment with topical crotamiton. J Clin Aesthet Dermatol 2:20–25[PubMed]
DiwakarA.,
DewanR. K.,
ChowdharyA.,
RandhawaH. S.,
KhannaG.,
GaurS. N.2007; Zygomycosis – a case report and overview of the disease in India. Mycoses 50:247–254 [View Article][PubMed]
GaoY. Y.,
Di PascualeM. A.,
LiW.,
Baradaran-RafiiA.,
ElizondoA.,
KuoC. L.,
RajuV. K.,
TsengS. C.2005; In vitro and in vivo killing of ocular Demodex by tea tree oil. Br J Ophthalmol 89:1468–1473 [View Article][PubMed]
HolzchuhF. G.,
HidaR. Y.,
MoscoviciB. K.,
Villa AlbersM. B.,
SantoR. M.,
Kara-JoséN.,
HolzchuhR.2011; Clinical treatment of ocular Demodexfolliculorum by systemic ivermectin. Am J Ophthalmol 151:1030–1034, e1[PubMed][CrossRef]
SeyhanM. E.,
KarincaoğluY.,
BayramN.,
AycanO.,
KukuI.2004; Density of Demodexfolliculorum in haematological malignancies. J Int Med Res 32:411–415[PubMed][CrossRef]