{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:27:52Z","timestamp":1767677272157,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,1,20]]},"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>We describe a case of cutaneous mucormycosis in a middle-aged man with ethanol-related chronic liver disease. He presented with symptoms of fever, breathlessness for 10 days and altered mental status for 2\u2009days. On admission, he was in septic shock and had acute respiratory distress syndrome (ARDS). He was noted to have ruptured blisters in his left axilla. Although he repeatedly had negative COVID-19 Reverse Transcription-PCR results, he had positive IgG antibodies for COVID-19. He was managed with broad-spectrum antibiotics, steroids, vasopressors and ventilation for ARDS. Over the course of his hospitalisation, the axillary lesion progressed to a necrotising ulcer with deep tissue invasion. Debridement and culture of the axillary ulcer revealed mucor species, and he was started on amphotericin and posaconazole for mucormycosis. Unfortunately, he continued to deteriorate despite aggressive management and died after a prolonged hospital stay of 40 days.<\/jats:p>","DOI":"10.1136\/bcr-2021-247399","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T11:33:28Z","timestamp":1644406408000},"page":"e247399","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Cutaneous mucormycosis: an unusual cause of decompensation in a patient with ethanol-related cirrhosis with COVID-19 exposure"],"prefix":"10.1136","volume":"15","author":[{"given":"Sherna","family":"Menezes","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janu Santhosh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omkar S","family":"Rudra","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0005-2508","authenticated-orcid":false,"given":"Aabha","family":"Nagral","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,2,9]]},"reference":[{"key":"2025082803372068000_15.2.e247399.1","doi-asserted-by":"crossref","first-page":"e1634","DOI":"10.1093\/cid\/ciaa1298","article-title":"A national strategy to diagnose coronavirus disease 2019-Associated invasive fungal disease in the intensive care unit","volume":"73","author":"White","year":"2021","journal-title":"Clin Infect Dis"},{"key":"2025082803372068000_15.2.e247399.2","doi-asserted-by":"crossref","first-page":"e3606","DOI":"10.1093\/cid\/ciaa1065","article-title":"Epidemiology of invasive pulmonary aspergillosis among intubated patients with COVID-19: a prospective study","volume":"73","author":"Bartoletti","year":"2021","journal-title":"Clin Infect Dis"},{"key":"2025082803372068000_15.2.e247399.3","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1111\/myc.13213","article-title":"Invasive pulmonary aspergillosis in the COVID-19 era: an expected new entity","volume":"64","author":"Machado","year":"2021","journal-title":"Mycoses"},{"key":"2025082803372068000_15.2.e247399.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2021.04.012"},{"key":"2025082803372068000_15.2.e247399.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmii.2020.09.004"},{"key":"2025082803372068000_15.2.e247399.6","doi-asserted-by":"crossref","first-page":"211","DOI":"10.3390\/jof6040211","article-title":"COVID-19-Associated candidiasis (CAC): an underestimated complication in the absence of immunological predispositions?","volume":"6","author":"Arastehfar","year":"2020","journal-title":"J Fungi"},{"key":"2025082803372068000_15.2.e247399.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2021.05.019"},{"key":"2025082803372068000_15.2.e247399.8","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1111\/myc.13332","article-title":"Characteristics of candidemia in COVID\u201019 patients; 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