Successful treatment of a child with posttraumatic necrotizing fasciitis caused by Apophysomyces elegans:: Case report and review of literature

被引:38
作者
Kordy, FN
Al-Mohsen, IZ
Hashem, F
Almodovar, E
Al Hajjar, S
Walsh, TJ
机构
[1] King Faisal Specialist Hosp & Res Ctr, Dept Pediat, Riyadh 11211, Saudi Arabia
[2] King Faisal Specialist Hosp & Res Ctr, Dept Surg, Riyadh 11211, Saudi Arabia
[3] King Faisal Specialist Hosp & Res Ctr, Dept Pathol & Lab Med, Riyadh 11211, Saudi Arabia
[4] NCI, Pediat Oncol Branch, Bethesda, MD 20892 USA
关键词
fungal; necrotizing fasciitis; Apophysomyces;
D O I
10.1097/01.inf.0000136870.17071.fd
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Apophysomyces elegans is an uncommon human pathogen that causes deeply invasive infections in immunocompromised patients and cutaneous infection in immumocompetent patients. We report the development of severe deep soft tissue zygomycosis caused by A. elegans in an otherwise healthy child after trauma. She was successfully treated with surgical debridements and antifungal therapy with liposomal amphotericin B. A review of the literature indicates that zygomycosis caused by A. elegans is associated with traumatic inoculation.
引用
收藏
页码:877 / 879
页数:3
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