Invasive Zygomycete Infection of Silicone Augmentation Mammoplasty in an Immunocompetent Patient: Case Report

Background: Invasive Zygomycete infection of the skin andSubcutaneous tissue is rare but can be life-threatening. Althoughseen more commonly in immunosuppressed patientssuch as those with diabetes or malignancy, it is now increasinglybeing reported in immunocompetent patients.Objective: We report a patient who presented with feverfive days post-aesthetic surgery for bilateral breast implants.Summary of a Case: Severe pain and erythema were notedat the wound site of the implant on the right breast initiallyspreading later to the left breast. Debridement and surgical removalof breast implants were carried out. Zygomycete specieswere identified in the necrotic tissue. Fungal infection shouldbe suspected in patients not responding to conventional antibiotics.Infection may be iatrogenic and needs a high indexof suspicion. Successful treatment is possible only if an earlyand timely diagnosis is made. Adequate surgical debridementand a prolonged oral systemic antifungal treatmentallowed full recovery.