Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury

Severe hand injuries are almost always heavily contaminated and hence wound infections in those patients are frequent. Fungal wound infections are rare in immunocompetent patients. A case of mixed fungal infection (Aspergillus, Mucor, and Candida) was documented in a young male patient, with a sever...

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Main Authors: Milana Obradovic-Tomasev, Aleksandra Popovic, Nada Vuckovic, Mladen Jovanovic
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2014/954186
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author Milana Obradovic-Tomasev
Aleksandra Popovic
Nada Vuckovic
Mladen Jovanovic
author_facet Milana Obradovic-Tomasev
Aleksandra Popovic
Nada Vuckovic
Mladen Jovanovic
author_sort Milana Obradovic-Tomasev
collection DOAJ
description Severe hand injuries are almost always heavily contaminated and hence wound infections in those patients are frequent. Fungal wound infections are rare in immunocompetent patients. A case of mixed fungal infection (Aspergillus, Mucor, and Candida) was documented in a young male patient, with a severe hand injury caused by a corn picker. The diagnosis of fungal infection was confirmed microbiologically and histopathologically. The treatment was conducted with repeated surgical necrectomy and administration of antifungal drugs according to the antimycogram. After ten weeks the patient was successfully cured. The aggressive nature of Mucor and Aspergillus skin infection was described. A high degree of suspicion and a multidisciplinary approach are necessary for an early diagnosis and the initiation of the adequate treatment. Early detection, surgical intervention, and appropriate antifungal therapy are essential in the treatment of this rare infection that could potentially lead to loss of limbs or even death.
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spelling doaj-art-d8125d5093c44da986130070c10046152025-02-03T06:08:26ZengWileyCase Reports in Infectious Diseases2090-66252090-66332014-01-01201410.1155/2014/954186954186Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand InjuryMilana Obradovic-Tomasev0Aleksandra Popovic1Nada Vuckovic2Mladen Jovanovic3Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Hajduk Veljkova 1, 21000 Novi Sad, SerbiaClinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Hajduk Veljkova 1, 21000 Novi Sad, SerbiaInstitute of Pathology, Faculty of Medicine of Novi Sad, University of Novi Sad, 21000 Novi Sad, SerbiaClinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Hajduk Veljkova 1, 21000 Novi Sad, SerbiaSevere hand injuries are almost always heavily contaminated and hence wound infections in those patients are frequent. Fungal wound infections are rare in immunocompetent patients. A case of mixed fungal infection (Aspergillus, Mucor, and Candida) was documented in a young male patient, with a severe hand injury caused by a corn picker. The diagnosis of fungal infection was confirmed microbiologically and histopathologically. The treatment was conducted with repeated surgical necrectomy and administration of antifungal drugs according to the antimycogram. After ten weeks the patient was successfully cured. The aggressive nature of Mucor and Aspergillus skin infection was described. A high degree of suspicion and a multidisciplinary approach are necessary for an early diagnosis and the initiation of the adequate treatment. Early detection, surgical intervention, and appropriate antifungal therapy are essential in the treatment of this rare infection that could potentially lead to loss of limbs or even death.http://dx.doi.org/10.1155/2014/954186
spellingShingle Milana Obradovic-Tomasev
Aleksandra Popovic
Nada Vuckovic
Mladen Jovanovic
Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury
Case Reports in Infectious Diseases
title Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury
title_full Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury
title_fullStr Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury
title_full_unstemmed Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury
title_short Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury
title_sort mixed fungal infection aspergillus mucor and candida of severe hand injury
url http://dx.doi.org/10.1155/2014/954186
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