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A 38 year-old male, a known case of diabetes mellitus on treatment, sustained an injury to his left foot in a Road Traffic Accident (RTA) and developed a polymicrobial wound infection. The causative organisms were found to be Pseudomonas aeruginosa along with a Zygomycete which could not be speciated by conventional microscopy but was identified as Lichtheimia ramosa by Polymerase Chain Reaction (PCR) and Internal Transcribed Spacer (ITS)sequencing. The infection was treated successfully by debridement and daily dressing with antiseptic solution. The patient recovered due to early diagnosis and did not require systemic antifungals.
Kindo et al. (Sat,) studied this question.