Cutaneous mucormycosis in a young immunocompetent trauma patient: a case report
  • André Silva
    Intensive Care Department, Hospital Sousa Martins, Guarda, Portugal
  • Christine Paiva
    Internal Medicine Department, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • João Pedro Baptista
    Intensive Care Department, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Rui Almeida
    Pathology Department, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Rita Alves
    Internal Medicine Department, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal

Keywords

Cutaneous mucormycosis, soft tissue, fasciitis, trauma

Abstract

Introduction: Mucormycosis, a rare and life-threatening infection, is caused by microorganisms of the Mucorales order. It affects almost exclusively immunocompromised and diabetic patients, requiring extensive surgical debridement and prolonged antifungal therapy.
Discussion/Results: We report the case of a 26-year-old immunocompetent woman, presenting with cutaneous mucormycosis after suffering blunt force trauma. This rare occurrence of mucormycosis in an immunocompetent patient reinforces the importance of elevated clinical suspicion and early initiation of adequate surgical and antifungal treatment.
Conclusion: Mucormycosis is a challenging condition with potentially devastating consequences. Timely diagnosis and appropriate management are vital to mitigate the morbidity and mortality associated with this condition.

VIEW THE ENTIRE ARTICLE

References

  • Wilkinson D, Doolette D. Hyperbaric oxygen treatment and survival from necrotizing soft tissue infection. Arch Surg 2004;139:1339-1345.
  • Jallali N, Withey S, Butler PE. Hyperbaric oxygen as adjuvant therapy in the management of necrotizing fasciitis. Am J Surg 2005;189:462-466.
  • Ilharco M, Pereira CM, Moreira L, Proenca AL, do Carmo Fevereiro M, Lampreia F, et al. Rhinoorbital mucormycosis in the immunocompetent: Experience with Isavuconazole. ID Cases 2019;18:e00591.
  • Sartelli M, Guirao X, Hardcastle TC, Kluger Y, Boermeester MA, Rasa K, et al. 2018 WSES/SIS-E consensus conference: recommendations for the management of skin and soft-tissue infections. World J Emerg Surg 2018;13:58.
  • Prista Leao B, Abreu I, Cláudia Carvalho A, Sarmento A, Santos L Mucormycosis: Literature review and retrospective report of 15 cases from Portugal. Curr Med Mycol 2020;6:47-53.
  • Views: 311
    HTML downloads: 48
    PDF downloads: 208


    Published: 2023-10-26
    Issue: 2023: Vol 10 No 12 (view)


    How to cite:
    1.
    Silva A, Paiva C, Baptista JP, Almeida R, Alves R. Cutaneous mucormycosis in a young immunocompetent trauma patient: a case report. EJCRIM 2023;10 doi:10.12890/2023_004068.