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Urbain J, Dinahet T, Martin O, Lukaszewicz AC, Mojallal AA, Lherm M. [Local administration of amphotericin B by VAC instillation: Therapeutic aid in the treatment of mucormycosis]. ANN CHIR PLAST ESTH 2024; 69:222-227. [PMID: 37596143 DOI: 10.1016/j.anplas.2023.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 07/24/2023] [Accepted: 07/25/2023] [Indexed: 08/20/2023]
Abstract
Mucormycosis is a rare and serious fungal infection, occurring mainly in immunocompromised, diabetic, polytrauma or burn patients. Current standard treatments include iterative carcinological surgical trimming, systemic treatment with liposomal amphotericin B and second-line Posaconazole or Isavuconazole. We report the case of a 37-year-old female patient with no previous medical history who developed a disseminated mucormycosis, with an estimated 25 % loss of skin substance and major decay of the chest wall. In addition to standard treatment, local instillations of amphotericin B using the VAC Veraflow® system were performed. We believe that local instillations of amphotericin B by VAC could improve the functional prognosis of patients with skin involvement.
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Affiliation(s)
- J Urbain
- Service de chirurgie des brûlés, plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France; Centre de traitement des brûlés de Lyon Pierre-Colson, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
| | - T Dinahet
- Service de chirurgie des brûlés, plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France; Centre de traitement des brûlés de Lyon Pierre-Colson, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - O Martin
- Centre de traitement des brûlés de Lyon Pierre-Colson, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France; Service d'anesthésie réanimation, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - A C Lukaszewicz
- Centre de traitement des brûlés de Lyon Pierre-Colson, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France; Service d'anesthésie réanimation, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - A-A Mojallal
- Service de chirurgie des brûlés, plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France; Centre de traitement des brûlés de Lyon Pierre-Colson, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
| | - M Lherm
- Service de chirurgie des brûlés, plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, Grande rue de la Croix-Rousse, 69004 Lyon, France; Centre de traitement des brûlés de Lyon Pierre-Colson, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France
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