Abstract
We present our experience with three cases of cutaneous mucormycosis involving the upper extremity. One patient was on long-term steroid therapy for polymyalgia rheumatica and myelodysplastic syndrome. A second patient had an advanced HIV infection. The third patient presented following a renal transplantation for which he was on immunosuppressive therapy.All three patients had wide local excision of the eschar and skin graft as immediate coverage or as a delayed reconstruction. Systemic Amphotericin B treatment was given for varying durations according to the recommendation of the infectious disease service. All skin grafts healed with full resolution of the infectious process, but one patient died of pneumonia.
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References
Rinaldi MG (1989) Zygomycosis. Infect Dis Clin North Am 3(1):19–41
Sugar AM (1992) Mucormycosis. Infect Dis Clin North Am 14:S126–129
Lehrer RI (1980) Mucormycosis. Ann Intern Med 93:93–108
Gartenberg G, Bottone EJ, Keusch GT, Weitzman I (1978) Hospital-acquired mucormycosis (rhizopus rhizopodiformis) of skin and subcutaneous tissue. N Eng J Med 299:1115–1118
Everett ED, Pearson S, Rogers W (1979) Rhizopus surgical wound infection associated with elasticized adhesive tape dressings. Arch Surg 114:738–739
Mead JH, Lupton GP, Dillavou CL, Odom RB (1979) Cutaneous rhizopus infection: occurrence as a postoperative complication associated with an elasticized adhesive dressing. JAMA 242(3):272–274
Veliath AJ, Rao R, Prabhu R, Aurora AL (1976) Cutaneous phycomycosis (mucormycosis) with fatal pulmonary dissemination. Arch Dermatol 112:509–512
Ingram CW, Sennesh J, Cooper JN, Perfect JR (1989) Disseminated zygomycosis: report of four cases and review. Rev Infect Dis 11(5):741–754
Wade JL, Matthews AK (1940) Cutaneous mucor infection of the face. JAMA 114:410–411
Al-Qattan (1996) Opportunistic mycotic infections of the upper limb. J Hand Surg (Br) 2:148–150
Sheldon DL, Johnson WC (1979) Cutaneous mucormycosis: two documented cases of suspected nosocomial cause. JAMA 241(10):1032–1034
Losee JE, Selber J, Vega S, Hall C, Scott G, Serletti JM (2002) Primary cutaneous mucormycosis: guide to surgical management. Ann Plast Surg 49(4):385–390
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Materials in this paper were presented at the 33rd Annual Scientific Meeting of the American Association for Hand Surgery, January 8–11, 2003, Kauai, Hawaii
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Chun, J.K., Christy, M., Rudikoff, D. et al. Cutaneous mucormycosis of the upper extremity: a series of patients and review of the literature. Eur J Plast Surg 27, 291–294 (2004). https://doi.org/10.1007/s00238-004-0668-0
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DOI: https://doi.org/10.1007/s00238-004-0668-0