Post traumatic cutaneous mucormycosis: a diagnostic dilemma

Authors

  • Kharishma P. Nair Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India
  • Siddartha Gowthaman S. Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India
  • Meghana S. Bagalgotkar Department of Plastic Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India
  • Vinoth S. Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India
  • Ramanathan Manickam Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India

DOI:

https://doi.org/10.18203/2349-2902.isj20211840

Keywords:

Mucormycosis, Amphotercin B, Trauma, Burns

Abstract

The incidence of mucormycosis, an invasive fungal disease, is more in the developing countries, especially among the immunocompromised individuals. However, this disease can also occur in those without any predisposing factors. In the developed countries, those undergoing haematopoetic stem cell transplantation were more prone to developing this disease. There can be varied presentations of mucormycosis. It could be rhinocerebral, pulmonary, cutaneous, gastrointestinal or even disseminated forms. Post traumatic mucormycosis is infrequently reported and is often difficult to diagnose earlier due to its unusual presentation. In this case report, we describe two patients who acquired cutaneous mucormycosis following traumatic wounds and how they characteristically presented with 3 zones which was identified by us and has not been reported of earlier. This can help in diagnosis of this condition earlier and to follow the treatment protocol accordingly and prevent the morbidity and mortality associated with this disease.

Author Biographies

Kharishma P. Nair, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India

Final year Post graduate, Department of General Surgery, Mahatma Gandhi Medical College & Research Institute, Pondicherry

Siddartha Gowthaman S., Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India

Assistant Professor, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry

Meghana S. Bagalgotkar, Department of Plastic Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India

Associate Professor and Head of Department of Plastic Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry

Vinoth S., Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India

Associate Professor, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry

Ramanathan Manickam, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth Deemed to be University, Pondicherry, India

Professor & Unit Chief, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry

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Published

2021-04-28

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Section

Case Reports