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Postburn Auricular Mucormycosis in an Immunocompetent Patient: Early Diagnosis and Multidisciplinary Management
Shadi Shinnawi1,2, Rafat Dawayme3, Muhammad Zahlaka4
1Otolaryngology - Head and Neck Surgery, UC Davis Health, Sacramento, USA.
Abstract:
Mucormycosis is a rare, rapidly progressive fungal infection that can cause devastating tissue destruction, particularly in vulnerable settings. We report a rare case of postburn auricular mucormycosis in a previously healthy, immunocompetent patient. After a motor vehicle accident that caused extensive burns, the patient developed dead tissue in both ears and pus in the ear discharge. A quick evaluation by an ear, nose, and throat (ENT) specialist, a bedside biopsy, and lab tests confirmed invasive mucormycosis. We promptly initiated systemic amphotericin B and performed extensive surgical debridement of all infected tissue. This approach resulted in sustained resolution of the infection, with no evidence of recurrence at subsequent follow-up. This case highlights the importance of being alert to this condition, diagnosing it early, and using a team approach to manage mucormycosis related to burns. Quick action is crucial to reduce the risk of death and improve functional and mental health outcomes in these difficult infections. Reports of auricular mucormycosis following burn injury in immunocompetent individuals are exceedingly uncommon, highlighting the clinical relevance of this case.
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