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Case repository| Volume 44, ISSUE 5, P424.e1-424.e4, May 2019

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Mucormycosis Osteomyelitis of the Hand

      Mucormycosis is a relatively uncommon but highly aggressive fungal infection caused by the Mucormycotina subgroup of fungi. Mucormycosis usually affects the skin, sinuses, or lungs of an immunocompromised host. Other risk factors for development of mucormycosis include hematologic malignancy, intravenous drug abuse, chronic steroid use, and contaminated traumatic wounds. Cutaneous mucormycosis of the hand involving the skin and soft tissues is rare but has been reported previously. In this case report, we review the clinical course of a patient with mucormycosis of the hand who was found to have extensive soft tissue and bony destruction and ultimately required amputation.

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      References

        • Sabbaj A.
        • Jensen B.
        • Browning M.A.
        • et al.
        Soft tissue infections and emergency department disposition: predicting the need for inpatient admission.
        Acad Emerg Med. 2009; 16: 1290-1297
        • Roden M.M.
        • Zaoutis T.E.
        • Buchanan W.L.
        • et al.
        Epidemiology and outcome of zygomycosis: a review of 929 reported cases.
        Clin Infect Dis. 2005; 41: 634-653
        • Moran S.L.
        • Strickland J.
        • Shin A.Y.
        Upper-extremity mucormycosis infections in immunocompetent patients.
        J Hand Surg Am. 2006; 31: 1201-1205
        • Fathi P.
        • Vranis N.
        • Paryavi E.
        Diagnosis and treatment of upper extremity mucormycosis infections.
        J Hand Surg Am. 2015; 40: 1032-1034
        • Lineberry K.
        • Boettcher A.
        • Blount A.
        • et al.
        Cutaneous mucormycosis of the upper extremity in an immunocompetent host: case report.
        J Hand Surg Am. 2012; 37: 787-791
        • Salibi A.
        • McArdle C.
        • Morritt A.N.
        Mucormycosis infection in the upper limb: a salvageable condition.
        J Hosp Infect. 2017; 97: 418-419
        • Jones N.
        • Shin E.
        • Eo S.
        • et al.
        Successful salvage of mucormycosis infection of the forearm and osteomyelitis of the ulna.
        Hand (NY). 2008; 3: 332-336
        • Stevanovic M.
        • Mirzayan R.
        • Holtom P.
        • Schnall S.
        Mucormycosis osteomyelitis in the hand.
        Orthopedics. 1999; 22: 449-450
        • Ketenci I.
        • Unlu Y.
        • Kaya H.
        • et al.
        Rhinocerebral mucormycosis: experience in 14 patients.
        J Laryngol Otol. 2011; : e3