Cases reported "Surgical Wound Infection"

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1/6. Hospital-acquired wound mucormycosis.

    Cutaneous infections due to fungi of the order mucorales are uncommon and usually present as a fulminant necrotizing cellulitis. We describe a case of a progressive wound infection at a surgical drain site caused by rhizopus rhizopodoformis. The indolent nature of the infection and lack of systemic toxicity were atypical features. mucormycosis should be suspected in cases of slowly progressive cellulitis in the appropriate clinical setting.
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ranking = 1
keywords = mucormycosis
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2/6. Invasive fungal infection of the maxilla following dental extractions in a patient with chronic obstructive pulmonary disease.

    We report on a 74-year-old male patient with chronic obstructive pulmonary disease (COPD) who developed an invasive fungal disease of the facial bones after several teeth were extracted. He had recently suffered an exacerbation of COPD, treated with a course of corticosteroid therapy. mucormycosis is an opportunistic fungal pathogen that has the ability to cause significant morbidity and frequently mortality in the susceptible patient. An overview of this class of pathogens and the history, examination findings (clinical and radiographic), pathogenesis and medical-surgical treatment of mucormycosis is presented.
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ranking = 0.25
keywords = mucormycosis
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3/6. rhizopus oligosporus as a cause of mucormycosis in man.

    After a fracture of the spinal column a 49-year-old male developed a mucormycosis due to rhizopus oligosporus. This appears to be the first report of a disease caused by this thermotolerant rhizopus species in a human being.
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ranking = 1.25
keywords = mucormycosis
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4/6. Hospital-acquired gangrenous mucormycosis.

    A post-operative diabetic patient who had been treated for serratia marcescens bacterial sepsis developed recurrent thrombosis of the left femoral artery following intra-arterial instrumentation. Pathological examination of arterial thrombus ultimately demonstrated invasive mucormycosis of the femoral artery and cultures of this material grew rhizopus oryzae. The occurrence of cutaneous and subcutaneous mucormycosis is reviewed, as well as recently recognized nosocomial risk factors for mucormycosis, such as elasticized bandages and wound dressings.
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ranking = 1.75
keywords = mucormycosis
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5/6. mucormycosis of a median sternotomy wound.

    mucormycosis is an unusual complication of cardiothoracic surgery. The fungi may infect the sternotomy wound causing a progressive gangrene or seed the implanted prosthetic valve or graft resulting in endocarditis or graft failure. There have been six previous reports of mucormycosis following cardiothoracic surgical procedures. Four cases involved prosthetic devices, the remaining two are examples of sternal wound mucormycosis acquired from the use of contaminated elasticized bandages. The first case of sternal wound mucormycosis not associated with elasticized bandages is reported here. The infection occurred in a diabetic patient who had undergone coronary artery bypass surgery and mitral valve replacement. The patient received corticosteroids and broad-spectrum antibiotics at the time of and after operation. The patient developed invasive sternal mucormycosis and died on day 10 after surgery, despite aggressive surgical debridement and amphotericin b therapy. No elasticized bandages were used and the source of the infection was not identified. Previous cases of mucormycosis in cardiothoracic surgery are reviewed and the specific clinical setting in which this fungal disease should be suspected defined.
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ranking = 1.25
keywords = mucormycosis
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6/6. Subcutaneous mucormycosis seen after gypsum fixation for bone fracture.

    A patient with erythema on the dorsum of the left foot after the removal of gypsum fixation applied for the treatment of bone fracture is reported. Both the clinical and histopathologic features led to the diagnosis of mucor infection.
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ranking = 1
keywords = mucormycosis
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