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

作者：Zahoor B A^*; Piercey J E; Wall D R; Tetsworth K D

来源：Annals of the Royal College of Surgeons of England, 2016, 98(8): E173-E177.

DOI：10.1308/rcsann.2016.0221

• Mucormycosis
• Invasive fungal wound infection
• Trauma
• Rhizopus orzaye
• Treatment

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.

• 出版日期2016-11