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Area of Science:

  • Infectious Diseases
  • Trauma Surgery
  • Mycology

Background:

  • Invasive fungal infections, particularly mucormycosis, are underrecognized complications following traumatic injuries.
  • Trauma can lead to the inoculation of environmental fungal spores into normally sterile body sites, rapidly causing severe disease.

Purpose of the Study:

  • To present a case series of four trauma patients with invasive fungal infections.
  • To develop a work-up and treatment algorithm for post-trauma invasive fungal infections.

Main Methods:

  • Case series of four trauma patients diagnosed with mucormycosis across two hospitals.
  • Review of clinical presentations, management strategies, and patient outcomes.

Main Results:

  • Three of the four patients survived after medical and surgical interventions; one patient died.
  • Survivors had lower extremity infections, while the deceased patient had extensive thoracic involvement.
  • Mucormycosis in trauma patients may present atypically, requiring high clinical suspicion.

Conclusions:

  • Mucormycosis is a rare but significant post-trauma complication with high morbidity and mortality.
  • Prompt diagnosis and intervention, including surgical debridement and antifungal therapy, are critical.
  • Consideration of novel treatments like antifungal irrigation may be beneficial.