Letter to Editor - Post operative Abdominal Wall Mucormycosis Mimicking as Bacterial Necrotising Fasciitis

A thirty-five years old non-diabetic female, who underwent epigastric herniorrhaphy in a peripheral hospital, was refered with spreading cellulitis and blackish discoloration of the wound after three days. At admission she was dehydrated, febrile and oliguric. There was a 21x12 cm. wound with necrotic floor and spreading cellulitis in the anterior abdominal wall. The rectus sheath was intact. With a clinical diagnosis of postoperative bacterial necrotising fasciitis, debridement was carried out and the excised tissue was submitted for microbiological and histopathological examination. She was put on cefotaxime, and metronidazole. Repeated debridements later resulted in removal of most of the anterior abdominal wall. The histopathology of the excised tissue showed extensive necrotizing inflammation and broad, aseptate fungal profiles of mucormycosis within the necrotic tissue. Grams stain showed gram negative bacilli and culture grew E. coli.