Fulminant mucormycosis after a traffic accident: a case report
Language English Country United States Media print-electronic
Document type Case Reports, Journal Article
PubMed
30552581
DOI
10.1007/s12223-018-00671-2
PII: 10.1007/s12223-018-00671-2
Knihovny.cz E-resources
- MeSH
- Amputation, Surgical MeSH
- Antifungal Agents pharmacology MeSH
- Disk Diffusion Antimicrobial Tests MeSH
- Lower Extremity pathology MeSH
- Accidents, Traffic * MeSH
- Adult MeSH
- Humans MeSH
- Mucor genetics isolation & purification MeSH
- Mucormycosis diagnosis etiology MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- Names of Substances
- Antifungal Agents MeSH
Mucormycosis is a rare fungal infection in immunocompetent patients, whereas in immunocompromised, it may be systemic and disseminated infection associated with high mortality. Mucormycosis is one of the most rapidly progressing and fulminant forms of fungal infections; Mucor circinelloides is rarely isolated species, also from immunocompromised patients. The reported case of mucormycosis after a traffic accident indicates that it may be the result of a contamination of wound by M. circinelloides coming from the environment. The fungal strain was identified by phenotypic methods and confirmed by molecular methods. Etest method was used for susceptibility testing of the fungal strain. No mycotoxins were detected in the analyzed sample. The infection was successfully treated with amphotericin B, but amputation of the lower limb was necessary.
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