[Post-traumatic mucormycosis due to Lichtheimia corymbifera: three case reports]

Abstract

We report 3 cases of post-traumatic cutaneous mucormycosis caused by Lichtheimia corymbifera, two of them occurring after a farm working accident. Management of post-traumatic mucormycoses consists of a wide excision of the infected tissue, combined with immediate antifungal therapy. Liposomal amphotericin B is the recommended first line treatment. Few studies have evaluated the efficacy of posaconazole. All 3 patients received a surgical debridement and liposomal amphotericin B, which was followed by posaconazole in 2 cases. The duration of the antifungal treatment is not yet well defined. All three patients received a treatment of five weeks with a favorable outcome.

Keywords: Cutaneous mucormycosis; Lichtheimia corymbifera; Mucormycoses; Mucormycoses cutanées; Mucormycoses post-traumatiques; Mucormycosis; Posaconazole; Post-traumatic mucormycosis.