Mould, a zygomyces. R. endophyticus, R. miehei, R. pakistanicus, R. pusillus, R. tauricus, R. variabilis
Rotting organic material like fruit and vegetables, soil.
Usually invasive disease such as pulmonary, disseminated and cutaneous in patients with profound immunodeficiencies.
Skin disease in China (PubMed).
May depend in the species. I&D if you can. Amphotericin is the traditional therapy and may be best. Posaconazole look promising as does isavuconazole. As always there are a smattering of case reports of survival with combination therapy.
Last Update: 04/06/18.