Infective gangrene in extremity trauma-are we targeting the right organisms?

Rajat Thawani1, Seema Singh2, Sonal Sharma3

  • 1University College of Medical Sciences, Delhi, India.

Insights

Mucormycosis, a rare fungal infection, can cause gangrene even after closed fractures in at-risk patients. Early diagnosis via tissue examination and prompt antifungal treatment are crucial for managing this severe condition.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Dermatology

Background:

  • Mucormycosis is a rare, fatal fungal infection caused by Zygomycetes.
  • It typically affects immunocompromised and diabetic individuals.
  • The infection is often linked to open fractures in at-risk patients.

Purpose of the Study:

  • To report a case of cutaneous mucormycosis leading to gangrene following a closed fracture.
  • To highlight the importance of considering mucormycosis in antibiotic-resistant wound infections, even in closed injuries.

Main Methods:

  • Case report of cutaneous mucormycosis.
  • Histopathological and microbiological examination of tissue from surgical debridement.
  • Review of clinical presentation and management.

Main Results:

  • Cutaneous mucormycosis developed into gangrene after a closed fracture.
  • The condition was diagnosed through tissue examination.

Conclusions:

  • Mucormycosis should be considered in the differential diagnosis of wound infections unresponsive to antibiotics, including those from closed injuries.
  • Early diagnosis through tissue analysis, surgical intervention, and parenteral antifungal therapy are essential for effective management.

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