### Microbiology Mold, a zygomyces. *S*. *erythrospora*, *S*. *vasiformis*. ### Epidemiologic Risks Found in the soil. At least one case after aesthetic breast augmentation surgery in medical tourism. [^2] One case from a magpie peck; [^4] another from a tattoo. [^5] Often fatal even in normal hosts. ### Syndromes Soft-tissue infections after penetrating trauma (like combat wounds) and burns. [^1] *[[Saksenaea]]* *vasiformis* causes fulminant [[Necrotizing Fasciitis]] in normal hosts. Occasional invasive disease in the immunoincompetent. ### Treatment [[Amphotericin B]] with surgery. [[Posaconazole]] looks promising. [^3] ### Rationalization [^1]: Lelievre L, Garcia-Hermoso D, Abdoul H, Hivelin M, Chouaki T, Toubas D, Mamez AC, Lantieri L, Lortholary O, Lanternier F; and the French Mycosis Study Group. Posttraumatic [[Mucormycosis]]: a nationwide study in France and review of the literature. Medicine (Baltimore). 2014 Nov;93(24):395-404. doi: 10.1097/MD.0000000000000221. Erratum in: Medicine (Baltimore). 2014 Nov;93(24):414. PMID: 25500709; PMCID: PMC4602436. [^2]: Rodríguez JY, Rodríguez GJ, Morales-López SE, Cantillo CE, Le Pape P, Álvarez-Moreno CA. [[Saksenaea]] erythrospora infection after medical tourism for esthetic breast augmentation surgery. Int J Infect Dis. 2016 Aug;49:107-10. doi: 10.1016/j.ijid.2016.05.032. Epub 2016 Jun 4. PMID: 27267577. [^3]: Hospenthal DR, Chung KK, Lairet K, Thompson EH, Guarro J, Renz EM, Sutton DA. [[Saksenaea]] erythrospora infection following combat trauma. J Clin Microbiol. 2011 Oct;49(10):3707-9. doi: 10.1128/JCM.05095-11. Epub 2011 Aug 24. PMID: 21865421; PMCID: PMC3187330. [^4]: Wilson PA. Zygomycosis due to [[Saksenaea]] vasiformis caused by a magpie peck. Med J Aust. 2008 Nov 3;189(9):521-2. doi: 10.5694/j.1326-5377.2008.tb02150.x. PMID: 18976197. [^5]: Parker C, Kaminski G, Hill D. Zygomycosis in a tattoo, caused by [[Saksenaea]] vasiformis. Australas J Dermatol. 1986 Dec;27(3):107-11. doi: 10.1111/j.1440-0960.1986.tb00304.x. PMID: 3632507.