A surgical approach in the management of mucormycosis in a trauma patient

Zahoor, B. A., Piercey, J. E., Wall, D. R. and Tetsworth, K. D. (2017) A surgical approach in the management of mucormycosis in a trauma patient. Annals of the Royal College of Surgeons of England, 98 8: e173-e177. doi:10.1308/rcsann.2016.0221


Author Zahoor, B. A.
Piercey, J. E.
Wall, D. R.
Tetsworth, K. D.
Title A surgical approach in the management of mucormycosis in a trauma patient
Journal name Annals of the Royal College of Surgeons of England   Check publisher's open access policy
ISSN 0035-8843
1478-7083
Publication date 2017-05-01
Year available 2016
Sub-type Article (original research)
DOI 10.1308/rcsann.2016.0221
Open Access Status Not yet assessed
Volume 98
Issue 8
Start page e173
End page e177
Total pages 5
Place of publication Colchester, United Kingdom
Publisher Royal College of Surgeons of England
Language eng
Abstract Mucormycosis as a consequence of trauma is a devastating complication; these infections are challenging to control, with a fatality rate approaching 96% in immunocompromised patients. We present a case where a proactive approach was successfully employed to treat mucormycosis following complex polytrauma. Aggressive repeated surgical debridement, in combination with appropriate antifungal therapy, proved successful in this instance. In our opinion, mucormycosis in trauma mandates an aggressive surgical approach. This prevents ascending dissemination of mucormycosis and certainly reduces the risk of patient mortality as a direct result. Anti-fungal therapy should be used secondarily as an adjunct together with surgical debridement, or as an alternative when surgical intervention is not feasible.
Keyword Invasive fungal wound infection
Mucormycosis
Rhizopus orzaye
Trauma
Treatment
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Medicine Publications
 
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