Photoallergic Contact Dermatitis Due to Chlorpromazine: a Report of 2 Cases Queilitis Fotoalérgica De Contacto Por Clorpromazina: Descripción De 2 Casos Case 1

These opportunistic fungi gain entry through injuries or wounds caused by trauma, with most cases involving major trauma, such as traffic accidents, farming accidents (wound contamination) and surgery. There have, however, also been descriptions of infections by Mucorales fungi following minor trauma, including bites and stings. There have been reports of S vasiformis infection in a patient pecked by a magpie and stung by a scorpion. The first case was resolved by wound debridement and administration of amphotericin B, although a skin graft was required to repair the wound defect. In the second case, amputation of the affected leg was necessary. Infections due to S vasiforms are probably underdiagnosed as these fungi do not easily produce spores in standard fungal media. A high index of clinical suspicion is therefore necessary to ensure early treatment and avoid amputations and fatal outcomes.