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Non-COVID-19 Cutaneous Mucormycosis from a Plastic Surgical Perspective
Vimalendu Brajesh1, Sneha Sharma1, Aditya Aggarwal1
1Department of Plastic, Aesthetic and Reconstructive Surgery, Medanta - The Medicity, Gurugram, Haryana, India.
Summary
Early diagnosis and multidisciplinary management are crucial for improving outcomes in cutaneous mucormycosis, a rare but aggressive fungal infection. Prompt medical and surgical intervention can reduce the high mortality rate associated with this condition.
Area of Science:
- Mycology
- Infectious Diseases
- Plastic Surgery
Background:
- Cutaneous mucormycosis is a rare, aggressive fungal infection with high mortality.
- Plastic surgeons encounter this infection in trauma, surgical sites, and secondary to bacterial infections.
- Prompt, multidisciplinary management is essential due to the infection's rapid progression.
Purpose of the Study:
- To present a management protocol for cutaneous mucormycosis.
- To highlight the importance of early diagnosis and intervention.
Main Methods:
- Retrospective observational study.
- Inclusion of patients managed at a tertiary care hospital from January 2016 to November 2022.
- Exclusion of patients with COVID-19 and mucormycosis.
Main Results:
- 24 patients studied; 22 males, predominantly aged 41-60 years.
- 16 patients survived; 5 of 8 deceased had comorbidities.
- Six patients presented without prior debridement; six had trunk involvement.
Conclusions:
- High clinical suspicion is vital for early diagnosis of invasive cutaneous mucormycosis.
- A multidisciplinary approach combining medical and surgical management improves outcomes.
- Effective management strategies can mitigate the high mortality rate of cutaneous mucormycosis.
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