@entity13296 refers to a group of uncommon and frequently fatal mycoses caused by fungi of the class Zygomycetes, the organisms of which are usually found in decaying organic matter. Disease can be transmitted by the inhalation of spores or by direct inoculation on disrupted skin or mucosa. For @entity395 such as @entity13296 , two or more cases occurring in a short time should be investigated as a probable @entity3082 . Twelve hospital outbreaks and two pseudoepidemics caused by Zygomycetes have been cited in the English literature. The first @entity3082 was recorded in 1977 and the last in 2008. Outbreaks have been reported in the USA, the UK and elsewhere in Europe. Cases have included cutaneous, disseminated, @entity358 . Species identified have included @entity7144 , Rhizopus rhizopodiformis, Rhizopus microsporus, Rhizopus spp., Absidia corymbifera and Rhizomucor pusillius. Sources of infection have included Elastoplast adhesive bandage rolls, ventilation systems, @entity5773 , karaya (plant-derived adhesive) ostomy bags, and water damage to a linen store and @entity1 shower room. @entity1 have included cardiosurgery @entity1 , renal transplant recipients, orthopaedic @entity1 , adult @entity1778 @entity1 , intensive care unit neonates, immunocompromised haematology @entity1 , and burn unit @entity1 . Although @entity13296 outbreaks in the hospital environment are infrequent, a high index of suspicion should exist if @entity39 appear in proximity to a postoperative wound. Direct tissue examination and tissue culture and histopathology must be routinely performed.

Outbreaks of XXXX in hospitals.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity7144 :: ('64495', 'Species') :: ['Rhizopus arrhizus'] @entity5773 :: ('MESH:D014060', 'Disease') :: ['wooden tongue depressors'] @entity3082 :: ('MESH:D004671', 'Disease') :: ['epidemic'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrotic lesions'] @entity13296 :: ('MESH:D020096', 'Disease') :: ['Zygomycosis', 'zygomycosis'] @entity1778 :: ('MESH:D007938', 'Disease') :: ['leukaemia'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary and rhinocerebral disease'] @entity395 :: ('MESH:D035583', 'Disease') :: ['rare diseases']
@entity13296 :: (MESH:D020096,Disease) :: ['zygomycosis']
