Successful management of mucormycosis infection secondary to motor vehicle accident in a healthy adolescent: A case report

Hemali Shah; Ernest Chisena; Brittany Nguyen; Debra Tristram; Christie Bialowas

doi:10.1016/j.mmcr.2022.10.004

Successful management of mucormycosis infection secondary to motor vehicle accident in a healthy adolescent: A case report

Med Mycol Case Rep. 2022 Nov 2:38:36-40. doi: 10.1016/j.mmcr.2022.10.004. eCollection 2022 Dec.

Authors

Hemali Shah¹, Ernest Chisena², Brittany Nguyen³, Debra Tristram⁴, Christie Bialowas³

Affiliations

¹ Albany Medical College, 47 New Scotland Avenue, Albany, NY, 12208, USA.
² Albany Medical Center Division of Orthopedic Surgery, 50 New Scotland Avenue, Albany, NY, 12208, USA.
³ Albany Medical Center Division of Plastic & Reconstructive Surgery, 50 New Scotland Avenue, Albany, NY, 12208, USA.
⁴ Albany Medical Center Department of Pediatric Infectious Disease, 50 New Scotland Avenue, Albany, NY, 12208, USA.

Abstract

Mucormycosis in healthy adolescents is a rare etiology of infection that does not have a commonly known protocol for management. This report describes an adolescent male who developed soft tissue mucormycosis secondary to a motor vehicle accident with severe lower extremity injuries. Treatment involved topical amphotericin B washouts and beads, serial aggressive debridement, and isavuconazole. To our knowledge, this is one of few documented cases of successful lower extremity salvage in an immunocompetent adolescent infected with mucormycosis and treated with isavuconazole.

Keywords: Immunocompetent; Limb salvage; Motor vehicle accident; Mucormycosis; Wound.

Publication types

Case Reports