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Burn wound zygomycosis caused by Apophysomyces elegans
R D Cooter1, I S Lim, D H Ellis
1Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, South Australia.
Journal of Clinical Microbiology
|September 1, 1990
Summary
A rare zygomycosis infection caused by Apophysomyces elegans occurred in a burn patient. Aggressive surgical intervention, including leg amputation, was required to manage the extensive tissue invasion by the fungus.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Burn Medicine
Background:
- Zygomycosis is a rare, severe fungal infection.
- Burn injuries create a high risk for opportunistic infections.
- Apophysomyces elegans is an emerging fungal pathogen.
Observation:
- A patient with 25% full-thickness burns developed zygomycosis.
- The infection showed rapid and extensive tissue invasion.
- The causative agent, Apophysomyces elegans, was identified.
Findings:
- The fungal infection rapidly invaded the patient's tissues.
- Surgical amputation of the affected leg was necessary for disease control.
- Apophysomyces elegans was isolated from the soil in the patient's burn environment, suggesting a source of inoculation.
Implications:
- This case highlights the potential for Apophysomyces elegans to cause severe infections in burn patients.
- Early recognition and aggressive management are crucial for improving outcomes in zygomycosis.
- Environmental fungal contamination poses a significant risk in burn care settings.
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