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Allograft of Primary Cutaneous Mucormycosis in a Preterm Neonate: A Case Report

Tania Benjamin1, Rachel Wattier2, William Dominic3

  • 1Resident Physician, Department of Otolaryngology - Head and Neck Surgery, University of California San Francisco (UCSF), San Francisco, CA.

Wounds : a Compendium of Clinical Research and Practice
|August 3, 2019
PubMed
Abstract

Insights

Primary cutaneous mucormycosis (PCM) in preterm infants can be fatal. Debridement with allografting offers a promising treatment option, potentially reducing complications in critically ill neonates.

Area of Science:

  • Neonatal dermatology
  • Mycology
  • Surgical reconstruction

Background:

  • Primary cutaneous mucormycosis (PCM) is a severe fungal skin infection.
  • Preterm neonates face heightened risk due to immature immunity and skin barriers.
  • Established treatments include antifungals and surgical debridement with grafting.

Observation:

  • A critically ill preterm infant with PCM caused by Rhizopus genus was treated.
  • Systemic liposomal amphotericin B, debridement, and chest wall reconstruction with an allograft were employed.
  • The allograft showed good integration, remaining in place for 11 weeks.

Findings:

  • Allografting in conjunction with systemic antifungals is a viable strategy for neonates.
  • This approach may mitigate risks associated with blood loss and donor site infections.
  • Despite treatment, the infant ultimately succumbed to recurrent bacterial sepsis.

Implications:

  • Debridement and allografting present a potentially safer alternative for neonates with PCM.
  • This method may improve outcomes for neonates during clinical stabilization.
  • Further research is warranted to optimize management of PCM in this vulnerable population.

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