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A rare case of cutaneous mucormycosis in the forearm: A case report

INTRODUCTION AND IMPORTANCE: Cutaneous Mucormycosis (CM) is a less frequent type of fungal infection that can present with different skin lesions. Although these lesions appear to be benign and silent, CM rapidly progresses into the deeper layers. Given that no specific laboratory or imaging finding...

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Autores principales: Shadidi-Asil, Rouzbeh, Kialashaki, Mehrnoosh, Fateh, Armin, Ramezani, Amirreza, Zamani, Amir, Ebrahimian, Manoochehr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018132/
https://www.ncbi.nlm.nih.gov/pubmed/35413672
http://dx.doi.org/10.1016/j.ijscr.2022.107048
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author Shadidi-Asil, Rouzbeh
Kialashaki, Mehrnoosh
Fateh, Armin
Ramezani, Amirreza
Zamani, Amir
Ebrahimian, Manoochehr
author_facet Shadidi-Asil, Rouzbeh
Kialashaki, Mehrnoosh
Fateh, Armin
Ramezani, Amirreza
Zamani, Amir
Ebrahimian, Manoochehr
author_sort Shadidi-Asil, Rouzbeh
collection PubMed
description INTRODUCTION AND IMPORTANCE: Cutaneous Mucormycosis (CM) is a less frequent type of fungal infection that can present with different skin lesions. Although these lesions appear to be benign and silent, CM rapidly progresses into the deeper layers. Given that no specific laboratory or imaging finding is described for the disease, the diagnosis is mainly based on history and physical examination. In addition, immediate debridement and antifungal agents must be commenced. CASE PRESENTATION: We present a 43-year-old septic man who was hospitalized for his forefoot infection. During his admission, he developed a necrotic-like ulcer in his antecubital fossa. After initial debridement, pathology examination revealed the infection with mucormycosis. We administered intravenous liposomal Amphotericin B, and also multiple surgeries were performed. Unfortunately, the sepsis progressed to multiorgan failure, and the patient passed away. CONCLUSION: CM requires emergent diagnosis and treatment. Early surgical interventions like extensive debridement and repetitive wound irrigation alongside systemic antifungal therapy are the key steps to preventing the progression of the disease.
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spelling pubmed-90181322022-04-20 A rare case of cutaneous mucormycosis in the forearm: A case report Shadidi-Asil, Rouzbeh Kialashaki, Mehrnoosh Fateh, Armin Ramezani, Amirreza Zamani, Amir Ebrahimian, Manoochehr Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Cutaneous Mucormycosis (CM) is a less frequent type of fungal infection that can present with different skin lesions. Although these lesions appear to be benign and silent, CM rapidly progresses into the deeper layers. Given that no specific laboratory or imaging finding is described for the disease, the diagnosis is mainly based on history and physical examination. In addition, immediate debridement and antifungal agents must be commenced. CASE PRESENTATION: We present a 43-year-old septic man who was hospitalized for his forefoot infection. During his admission, he developed a necrotic-like ulcer in his antecubital fossa. After initial debridement, pathology examination revealed the infection with mucormycosis. We administered intravenous liposomal Amphotericin B, and also multiple surgeries were performed. Unfortunately, the sepsis progressed to multiorgan failure, and the patient passed away. CONCLUSION: CM requires emergent diagnosis and treatment. Early surgical interventions like extensive debridement and repetitive wound irrigation alongside systemic antifungal therapy are the key steps to preventing the progression of the disease. Elsevier 2022-04-06 /pmc/articles/PMC9018132/ /pubmed/35413672 http://dx.doi.org/10.1016/j.ijscr.2022.107048 Text en © 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Shadidi-Asil, Rouzbeh
Kialashaki, Mehrnoosh
Fateh, Armin
Ramezani, Amirreza
Zamani, Amir
Ebrahimian, Manoochehr
A rare case of cutaneous mucormycosis in the forearm: A case report
title A rare case of cutaneous mucormycosis in the forearm: A case report
title_full A rare case of cutaneous mucormycosis in the forearm: A case report
title_fullStr A rare case of cutaneous mucormycosis in the forearm: A case report
title_full_unstemmed A rare case of cutaneous mucormycosis in the forearm: A case report
title_short A rare case of cutaneous mucormycosis in the forearm: A case report
title_sort rare case of cutaneous mucormycosis in the forearm: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9018132/
https://www.ncbi.nlm.nih.gov/pubmed/35413672
http://dx.doi.org/10.1016/j.ijscr.2022.107048
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