Mucormycosis in the Hand: A Case Report.
Journal
JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828
Informations de publication
Date de publication:
01 10 2022
01 10 2022
Historique:
entrez:
23
2
2023
pubmed:
24
2
2023
medline:
3
3
2023
Statut:
epublish
Résumé
We report a 25-year-old insulin-dependent woman with extensive soft tissue infection in the left hand. The tissue cultures grew methicillin-resistant Staphylococcus aureus, and histology identified mucor species. The patient received a course of intravenous liposomal amphotericin B and vancomycin. Wound debridement, intravenous antimicrobial, and timely groin flap coverage to wound salvaged the hand and allowed her to return to daily work. Mucormycosis of the hand is rare and is associated with high morbidity and amputation. Little is known about reconstructing the mucor-infected wounds in hand. The pedicled groin flap is safe and reliable and can reconstruct complex defects on the hand, especially mucor-resultant wounds.
Identifiants
pubmed: 36820852
doi: 10.2106/JBJS.CC.22.00510
pii: 01709767-202212000-00042
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.
Déclaration de conflit d'intérêts
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B977).
Références
Arnáiz-García ME, Alonso-Peña D, del Carmen González-Vela M, García-Palomo JD, Sanz-Giménez-Rico JR, Arnáiz-García AM. Cutaneous mucormycosis: report of five cases and review of the literature. J Plast Reconstr Aesthet Surg. 2009;62(11):e434-41.
Kelpin J, Fahrenkopf M, Kelley J, Eichhorn M, Martin M. Mucormycosis osteomyelitis of the hand. J Hand Surg. 2019;44(5):424.e1-4.
Chew HH, Abuzeid A, Singh D, Tai CC. Surgical wound mucormycosis necessitating hand amputation: a case report. J Orthop Surg (Hong Kong). 2008;16(2):267-9.
Kanagaraju V, Narayanasamy VK, Sukumaran S, Moorthy U, Sundar VS, Lakshmi SV. Invasive, gangrenous mucormycosis of arm: a fatal opportunistic infection in a highly immunocompromised host. Indian J Pathol Microbiol. 2019;62(4):618-20.
Maleitzke T, Stahnke K, Trampuz A, Märdian S. A case report of cutaneous mucormycosis of the hand after minor trauma in a patient with acute myeloid leukaemia. Trauma Case Rep. 2019;23:100221.
Hoenigl M, Seidel D, Carvalho A, Rudramurthy SM, Arastehfar A, Gangneux JP, Nasir N, Bonifaz A, Araiza J, Klimko N, Serris A, Lagrou K, Meis JF, Cornely OA, Perfect JR, White PL, Chakrabarti A; ECMM, ISHAM Collaborators. The emergence of COVID-19 associated mucormycosis: a review of cases from 18 countries. Lancet Microbe. 2022;3(7):e543-52.
Jerome JTJ, Malshikare VA. Fingertip injuries outcome score. Plast Reconstr Surg Glob Open. 2022;10:e4386.
Moran SL, Strickland J, Shin AY. Upper-extremity mucormycosis infections in immunocompetent patients. J Hand Surg. 2006;31(7):1201-5.
Phen S, Ali M, Hoff E, Yagnik KJ, Cutrell JB, Waters J, Cavuoti D, Odedosu K. Left hand necrosis as the initial presentation of disseminated mucormycosis: a case report and literature review. IDCases. 2021;26:e01269.
Roden MM, Zaoutis TE, Buchanan WL, Knudsen TA, Sarkisova TA, Schaufele RL, Sein M, Sein T, Chiou CC, Chu JH, Kontoyiannis DP, Walsh TJ. Epidemiology and outcome of zygomycosis: a review of 929 reported cases. Clin Infect Dis. 2005;41(5):634-53.
Goertz O, Kapalschinski N, Daigeler A, Hirsch T, Homann HH, Steinstraesser L, Lehnhardt M, Steinau HU. The effectiveness of pedicled groin flaps in the treatment of hand defects: results of 49 patients. J Hand Surg. 2012;37(10):2088-94.
Prokuski V, Strohl A. Soft tissue coverage for severe infections. Hand Clin. 2020;36(3):369-79.