Myocutaneous Mucormycosis in a Diabetic Burnt Patient Led to Upper Extremity Amputation; A Case Report
Journal Title: Bulletin of Emergency And Trauma - Year 2017, Vol 5, Issue 1
Abstract
Mucormycosis is a rare opportunistic fungal infection that can implicate cranial sinuses, brain, lungs, gastrointestinal tract and skin. Although it can occur in patients with competent and incompetent immunity such as patients with diabetes mellitus, lymphoma, leukemia and burns, but it has an aggressive, malignant and lethal course in patients with incompetent immunity. To enforce the importance of burn in patients with underlaying diseases such as diabetes, we are going to report a rare case of diabetic burnt patient complicated by right upper extremity myocutaneous mucormycosis. We selected this case to emphasis the importance of underlying disease (diabetes mellitus) with cutaneous burn, aggressive treatment of fungal infection in these patients and referring such case to burn center to prevent catastrophic results. A 50-year-old woman was introduced to us after several days of medical and surgical care of right upper extremity and trunk split-thickness burn. Due to gross muscle necrosis of right upper extremity and poor general condition of the patient, she was taken to the operating room that led to right upper extremity amputation and several times of aggressive debridement to save her life. Pathologic report was indicative of mucormycosis. We can conclude from this case that: 1) Burn, even partially thickness and with little body surface area, should be referred to burn center for better care 2) No response to usual medical treatment should make us more sensitive to consider the unusual causes of infection such as fungi 3) Suspected dead tissues should be excised aggressively especially if suspiciousness to wound sepsis and fungal infection is present especially in an immunocompromised patient.
Authors and Affiliations
Mehdi Ayaz, Reza Moein
Keywords
Related Articles
- EP ID EP298117
- DOI -
- Views 40
- Downloads 0
Prevalence of Fracture in Healthy Iranian Children Aged 9–18 Years and Associated Risk Factors; A Population Based Study
Objective: To determine the prevalence of fractures and associated risk factors in healthy Iranian children and adolescents. Methods: In this cross sectional population based study, 478 healthy Iranian children and adole...
Epidemiology of Animal Bites and Associated Factors with Delay in Post-Exposure Prophylaxis; A Cross-Sectional Study
Objective: To address the epidemiology of animal bites and associated factors with delay in post-exposure prophylaxis (PEP) in Nahvand district, western Iran. Methods: Data were obtained from Rabies Treatment Center (RTC...
Mishra’s Sign of Blunt Traumatic Pancreatic Injury’: An Intra-Operative Telltale Sign Indicating Potential Blunt Traumatic Pancreatic Injury
Dear Editor Missed traumatic pancreatic injuries especially injury to the main pancreatic duct (MPD) is a small but significant cause for morbidity and mortality [1, 2]. During exploratory laparotomy, traumatic pancreati...
Epidemiological Characteristics of Traumatic Spinal Cord Injury (TSCI) in the Middle-East and North-Africa (MENA) Region: A Systematic Review and Meta-Analysis
Objective: To systematically search the literature and to summarize current evidence pertaining to the epidemiology of SCI in the MENA region incidence, gender, age, type of the injury and etiology of the injury. Methods...
Handlebar Hernia with Triple Herniation and Perforation: A Case Report and Literature Review
Blunt trauma abdomen is a very common entity but traumatic abdominal wall hernia is not that common. Herniation through abdominal wall usually occurs following trauma with seat belt, motor cycle, bicycle handle bar etc....