Abstract
A 66-year-old male patient was hospitalized due to bilateral caliceal stones. A lobulated lesion in the left great gluteal muscle region was found incidentally on magnetic resonance cholangiopancreatography (MRCP) after admission. Extensive surgical debridement was performed, along with early use of intravenous amphotericin B, after demonstration of Mucorales hyphae in the pathologic specimen. With the aid of subsequent abdominal computed tomography (CT), history of frequent intramuscular drug injection and successive low serum cortisol levels, injection granulomas in the right gluteal region due to steroid abuse were diagnosed. This case demonstrated the occurrence of mucormycotic infection in patients with steroid abuse. Plastic surgeons should have a high index of suspicion regarding cutaneous mucormycosis in individuals with a history of intramuscular steroid injection. Early implementation of aggressive surgical debridement, administration of empiric antifungal medications, and definitive reconstruction are necessary to obtain a successful outcome.
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