Jerome JTJ, Thirumagal K. Mucormycosis in the Hand: A Case Report.
JBJS Case Connect 2022;
12:01709767-202212000-00042. [PMID:
36820852 DOI:
10.2106/jbjs.cc.22.00510]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
CASE
We report a 25-year-old insulin-dependent woman with extensive soft tissue infection in the left hand. The tissue cultures grew methicillin-resistant Staphylococcus aureus, and histology identified mucor species. The patient received a course of intravenous liposomal amphotericin B and vancomycin. Wound debridement, intravenous antimicrobial, and timely groin flap coverage to wound salvaged the hand and allowed her to return to daily work.
CONCLUSIONS
Mucormycosis of the hand is rare and is associated with high morbidity and amputation. Little is known about reconstructing the mucor-infected wounds in hand. The pedicled groin flap is safe and reliable and can reconstruct complex defects on the hand, especially mucor-resultant wounds.
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