Cutaneous mucormycosis: report of five cases and review of the literature

Summary Mucormycosis is a highly aggressive fungal infection caused by Zygomycetes, from the order of Mucorales. This infection commonly presents an aggressive and rapid course and typically affects immunocompromised patients. Mucormycosis can manifest in different clinical patterns and locations. A...

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Veröffentlicht in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-11, Vol.62 (11), p.e434-e441
Hauptverfasser: Arnáiz-García, M.E, Alonso-Peña, D, del Carmen González-Vela, M, García-Palomo, J.D, Sanz-Giménez-Rico, J.R, Arnáiz-García, A.M
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container_end_page e441
container_issue 11
container_start_page e434
container_title Journal of plastic, reconstructive & aesthetic surgery
container_volume 62
creator Arnáiz-García, M.E
Alonso-Peña, D
del Carmen González-Vela, M
García-Palomo, J.D
Sanz-Giménez-Rico, J.R
Arnáiz-García, A.M
description Summary Mucormycosis is a highly aggressive fungal infection caused by Zygomycetes, from the order of Mucorales. This infection commonly presents an aggressive and rapid course and typically affects immunocompromised patients. Mucormycosis can manifest in different clinical patterns and locations. Although the correct diagnosis is often difficult, an early identification is essential for patient survival. Several clinical forms of mucormycosis are recognised. Cutaneous mucormycosis is less common than other clinical forms, but potentially lethal if treatment is not rapid. Tissue examination by histopathology and culture confirms the fungal infection. Standard treatment includes antifungal therapies associated with surgical debridement. We report five different cases of cutaneous mucormycosis treated in our institution and the management carried out in each case.
doi_str_mv 10.1016/j.bjps.2008.04.040
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This infection commonly presents an aggressive and rapid course and typically affects immunocompromised patients. Mucormycosis can manifest in different clinical patterns and locations. Although the correct diagnosis is often difficult, an early identification is essential for patient survival. Several clinical forms of mucormycosis are recognised. Cutaneous mucormycosis is less common than other clinical forms, but potentially lethal if treatment is not rapid. Tissue examination by histopathology and culture confirms the fungal infection. Standard treatment includes antifungal therapies associated with surgical debridement. 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This infection commonly presents an aggressive and rapid course and typically affects immunocompromised patients. Mucormycosis can manifest in different clinical patterns and locations. Although the correct diagnosis is often difficult, an early identification is essential for patient survival. Several clinical forms of mucormycosis are recognised. Cutaneous mucormycosis is less common than other clinical forms, but potentially lethal if treatment is not rapid. Tissue examination by histopathology and culture confirms the fungal infection. Standard treatment includes antifungal therapies associated with surgical debridement. We report five different cases of cutaneous mucormycosis treated in our institution and the management carried out in each case.</description><subject>Adult</subject><subject>Aged</subject><subject>Antifungal Agents - therapeutic use</subject><subject>Antifungal therapy</subject><subject>Combined Modality Therapy</subject><subject>Cutaneous mucormycosis</subject><subject>Debridement - methods</subject><subject>Dermatomycoses - diagnosis</subject><subject>Dermatomycoses - immunology</subject><subject>Dermatomycoses - therapy</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hyperbaric Oxygenation - methods</subject><subject>Immunocompromised Host</subject><subject>Immunohistochemistry</subject><subject>Male</subject><subject>Mucormycosis - diagnosis</subject><subject>Mucormycosis - immunology</subject><subject>Mucormycosis - therapy</subject><subject>Plastic Surgery</subject><subject>Risk Assessment</subject><subject>Sampling Studies</subject><subject>Severity of Illness Index</subject><subject>Skin Transplantation - methods</subject><subject>Surgical treatment</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><subject>Young Adult</subject><issn>1748-6815</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1L5DAUhoOs-P0HvJDe7VXHkyZNM7IsyOAXCF6o1yFNTjG1bcakVebfmzIDC3shHEjIed-XnOcQck5hQYGKy3ZRt-u4KADkAngq2CNHVFYyh5Itf6V7xWUuJC0PyXGMLQBnlJcH5JBKIbmQcEQeVtOoB_RTzPrJ-NBvjI8uXmUB1z6MmW-yxn1iZnTEmOnBpsanw6-5Mb5h1rkRgx6ngKdkv9FdxLPdeUJeb29eVvf549Pdw-r6MTecwpgzlBSWloJltq7q2nLJmvmlaUyFJdVLmT4nG66FsQy1rAuL1bISUBecspqdkN_b3HXwHxPGUfUuGuy67RiqYrzgwAQkZbFVmuBjDNiodXC9DhtFQc0EVatmgmomqICnmk0Xu_ip7tH-s-yQJcGfrQDTkAlFUNE4HAxaF9CMynr3c_7f_-ymc4MzunvHDcbWT2FI-BRVsVCgnucdzisECSCKUrBvvmyXVg</recordid><startdate>20091101</startdate><enddate>20091101</enddate><creator>Arnáiz-García, M.E</creator><creator>Alonso-Peña, D</creator><creator>del Carmen González-Vela, M</creator><creator>García-Palomo, J.D</creator><creator>Sanz-Giménez-Rico, J.R</creator><creator>Arnáiz-García, A.M</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20091101</creationdate><title>Cutaneous mucormycosis: report of five cases and review of the literature</title><author>Arnáiz-García, M.E ; 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This infection commonly presents an aggressive and rapid course and typically affects immunocompromised patients. Mucormycosis can manifest in different clinical patterns and locations. Although the correct diagnosis is often difficult, an early identification is essential for patient survival. Several clinical forms of mucormycosis are recognised. Cutaneous mucormycosis is less common than other clinical forms, but potentially lethal if treatment is not rapid. Tissue examination by histopathology and culture confirms the fungal infection. Standard treatment includes antifungal therapies associated with surgical debridement. We report five different cases of cutaneous mucormycosis treated in our institution and the management carried out in each case.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>18684680</pmid><doi>10.1016/j.bjps.2008.04.040</doi></addata></record>
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subjects Adult
Aged
Antifungal Agents - therapeutic use
Antifungal therapy
Combined Modality Therapy
Cutaneous mucormycosis
Debridement - methods
Dermatomycoses - diagnosis
Dermatomycoses - immunology
Dermatomycoses - therapy
Follow-Up Studies
Humans
Hyperbaric Oxygenation - methods
Immunocompromised Host
Immunohistochemistry
Male
Mucormycosis - diagnosis
Mucormycosis - immunology
Mucormycosis - therapy
Plastic Surgery
Risk Assessment
Sampling Studies
Severity of Illness Index
Skin Transplantation - methods
Surgical treatment
Treatment Outcome
Wound Healing - physiology
Young Adult
title Cutaneous mucormycosis: report of five cases and review of the literature
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