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Hospital-acquired wound mucormycosis.

S F Paparello1, R L Parry, D C MacGillivray

  • 1Department of Surgery, National Naval Medical Center, Bethesda, Maryland 20814-5000.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|January 1, 1992
PubMed
Summary

Fungal infections of the skin from Mucorales are rare and typically severe. This case highlights an unusual, slow-progressing wound infection caused by Rhizopus rhizopodoformis, suggesting mucormycosis in similar clinical presentations.

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Area of Science:

  • Mycology
  • Dermatology
  • Infectious Diseases

Background:

  • Cutaneous infections caused by fungi in the order Mucorales are infrequent.
  • These infections typically manifest as rapidly progressing, necrotizing cellulitis.
  • Mucormycosis often presents with significant systemic toxicity.

Observation:

  • A case of a progressive wound infection at a surgical drain site is presented.
  • The causative agent was identified as Rhizopus rhizopodoformis.
  • The infection exhibited an indolent clinical course with a lack of systemic toxicity, which is atypical for Mucorales infections.

Findings:

  • Rhizopus rhizopodoformis can cause cutaneous mucormycosis.
  • The clinical presentation of cutaneous mucormycosis can vary, including slow-progressing infections.

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  • Atypical presentations may lack systemic toxicity.

    • Implications:

    • Clinicians should consider mucormycosis in cases of slowly progressive cellulitis, especially at surgical sites.
    • Early recognition and diagnosis of cutaneous mucormycosis are crucial for appropriate management.
    • This case expands the spectrum of clinical presentations for Rhizopus-induced cutaneous infections.