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Peer-reviewedCC BY 4.0Current Medical Mycology

Orbital infection due to Saksenaea loutrophoriformis in an immunocompetent adolescent: A case report

  • Somayeh Dolatabadi1
  • Mohammad Hasan Aelami2
  • Mohammad Javad Najafzadeh3
  • Mohammad Etezad Razavi4
  • Mohammad Saeid Sasan2
  • Jos Houbraken5
5 affiliations
  1. 1Department of Biology, Hakim Sabzevari University, Sabzevar, Iran
  2. 2Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  3. 3Department of Parasitology and Mycology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  4. 4Ophthalmology, Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  5. 5Westerdijk Fungal Biodiversity Institute, Utrecht, The Netherlands
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Abstract

Background and Purpose:: Mucormycosis is a rare fungal infection which can cause acute, disfiguring, and angioinvasive infections in immunocompromised patients with high mortality and morbidity rates. However, this study aimed to present the case of a healthy 7-year-old female.

Case presentation:: An immunocompetent female with orbital mucormycosis caused by Saksenaea loutrophoriformis from Mashhad, Iran was admitted to the hospital. This rare infection was the consequence of an injury due to a tree branch. The causative agent was identified by histopathology, routine mycological methods, and DNA sequencing of the Internal Transcribed Spacer 1 and 2 regions, including the intervening 5.8S gene and the partial large subunit region D1 and D2.

Results:: The patient was successfully treated with surgical debridement and antifungal treatment of amphotericin B and oral posaconazole.

Conclusion:: Molecular diagnosis is crucial in the absence of sporulation to avoid misidentification and late diagnosis. This report of a rare infection in an immunocompetent host is valuable for awareness of clinicians.

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Cite

BibTeXRIS
BibTeX
@article{dolatabadi2026orbital,
  title = {{Orbital infection due to Saksenaea loutrophoriformis in an immunocompetent adolescent: A case report}},
  author = {Somayeh Dolatabadi and Mohammad Hasan Aelami and Mohammad Javad Najafzadeh and Mohammad Etezad Razavi and Mohammad Saeid Sasan and Jos Houbraken},
  journal = {Current Medical Mycology},
  year = {2026},
  month = jun,
  doi = {10.22034/cmm.2026.345464.1697},
  url = {https://doi.org/10.22034/cmm.2026.345464.1697},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Orbital infection due to Saksenaea loutrophoriformis in an immunocompetent adolescent: A case report
AU  - Somayeh Dolatabadi
AU  - Mohammad Hasan Aelami
AU  - Mohammad Javad Najafzadeh
AU  - Mohammad Etezad Razavi
AU  - Mohammad Saeid Sasan
AU  - Jos Houbraken
PY  - 2026
DA  - 2026/06/26
JO  - Current Medical Mycology
DO  - 10.22034/cmm.2026.345464.1697
UR  - https://doi.org/10.22034/cmm.2026.345464.1697
AB  - Background and Purpose:: Mucormycosis is a rare fungal infection which can cause acute, disfiguring, and angioinvasive infections in immunocompromised patients with high mortality and morbidity rates. However, this study aimed to present the case of a healthy 7-year-old female.  Case presentation:: An immunocompetent female with orbital mucormycosis caused by Saksenaea loutrophoriformis from Mashhad, Iran was admitted to the hospital. This rare infection was the consequence of an injury due to a tree branch. The causative agent was identified by histopathology, routine mycological methods, and DNA sequencing of the Internal Transcribed Spacer 1 and 2 regions, including the intervening 5.8S gene and the partial large subunit region D1 and D2.  Results:: The patient was successfully treated with surgical debridement and antifungal treatment of amphotericin B and oral posaconazole.  Conclusion:: Molecular diagnosis is crucial in the absence of sporulation to avoid misidentification and late diagnosis. This report of a rare infection in an immunocompetent host is valuable for awareness of clinicians.
SN  - 2423-3439
SN  - 2423-3420
ER  -