A fatal case of disseminated mucormycosis in an immunocompetent patient post traumatic injury

Lama Arfaj; Fatinah Aloqpi; Waleed Elsayad; Sarah Tayeb; Nada Rabie; Mohammed Samannodi

doi:10.1016/j.idcr.2021.e01182

A fatal case of disseminated mucormycosis in an immunocompetent patient post traumatic injury

IDCases. 2021 Jun 10:25:e01182. doi: 10.1016/j.idcr.2021.e01182. eCollection 2021.

Authors

Lama Arfaj¹, Fatinah Aloqpi¹, Waleed Elsayad¹, Sarah Tayeb¹, Nada Rabie¹, Mohammed Samannodi^{1

2}

Affiliations

¹ Department of Medicine, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
² Department of Medicine, College of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

Abstract

Mucormycosis, is an invasive infection caused by fungi. Mainly it affects patients with immunosuppressive conditions but can occur in immuncompetent host in specific situation such us direct skin inoculation by traumatic injury. We present a 56-year-old patient who hospitalized due to left orbital cellulitis and necrotizing fasciitis post traumatic injury. A diagnosis of invasive mucormycosis was established by tissue histopathology and culture. Despite daily surgical debridement and amphotericin B, the infection disseminated to central nervous system led to fatal outcome. We conclude that mucormycosis can disseminate in immunocompetent population and leads to death.

Keywords: Immunocompetent; Invasive; Mucormycosis; Trauma.

Publication types

Case Reports