Cutaneous Mucormycosis in a Patient With Cirrhosis: A Case Report

Haley Belt1, Margaret Kypreos1, An Lu1

  • 1Division of Pulmonary and Critical Care Medicine, University of Texas Southwestern Medical Center, Dallas, USA.

Insights

Global mucormycosis infections are increasing. This case report details the sixth instance of cutaneous mucormycosis in a cirrhosis patient, exploring potential nosocomial causes for this severe fungal infection.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Hepatology

Background:

  • Invasive mucormycosis (mucor) incidence is rising globally, linked to increased immunosuppressive therapies for cancer and autoimmune conditions.
  • Cirrhosis is a known risk factor for fungal infections, yet inciting factors for isolated cutaneous mucormycosis remain poorly understood.
  • Cutaneous mucormycosis carries a high mortality risk and is rarely documented in cirrhosis patients (only 5 cases prior to this report).

Purpose of the Study:

  • To present the sixth documented case of cutaneous mucormycosis in a patient with cirrhosis.
  • To investigate potential nosocomial etiologies contributing to the development of clinically significant cutaneous mucormycosis in this patient population.

Main Methods:

  • Case report presentation.
  • Review of patient history and clinical course.
  • Exploration of potential nosocomial exposures and risk factors.

Main Results:

  • This report details the sixth case of cutaneous mucormycosis in a patient with cirrhosis.
  • The study explores potential nosocomial factors that may have precipitated the infection's progression.

Conclusions:

  • Cutaneous mucormycosis is a rare but severe complication in cirrhosis patients.
  • Further investigation into nosocomial factors is crucial for understanding and preventing mucormycosis in immunocompromised individuals with liver disease.

Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
4.2K
Fungal Phylum Microsporidia01:28

Fungal Phylum Microsporidia

Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
125
Fungal Group Zygomycota01:29

Fungal Group Zygomycota

Zygomycota, previously classified as a distinct fungal group, are primarily terrestrial, saprophytic molds that play a crucial role as decomposers. Recent phylogenetic studies have revealed that these fungi are now divided into two major clades — Mucoromycota, which includes many symbiotic species, and Zoopagomycota, which primarily consists of parasitic and pathogenic fungi. These groups exhibit distinct ecological roles and reproductive strategies while sharing key structural and...
126