Table 2.
Acute necrotising mucormycosis | Chronic granulomatous mucormycosis | |
---|---|---|
Onset | Acute | Chronic |
Progression | Rapid | Slow |
Cellular immunity | Usually impaired | Usually intact |
Causative organism | Rhizopus, Mucor | Rhizomucor |
Mode of involvement | Traumatic inoculation, Haematogenous dissemination, Contiguous spread |
Traumatic inoculation |
Clinical features | Reddish purple indurated plaques progressing to necrosis and eschar formation | Erythematous plaque with a progressive margin and areas of healing and scar formation |
Angioinvasion | Present | Absent |
Histolopathology | Necrotising inflammation | Granulomatous inflammation |
Treatment | Control of predisposing condition, surgical debridement and liposomal amphotericin B | Liposomal amphotericin B |
Prognosis and mortality | Poor can lead to mortality | Good, no mortality but causes significant morbidity |