Cutaneous zygomycosis (mucormycosis) complicating endotracheal intubation: diagnosis and successful treatment.
Diagnosis and successful therapy for primary cutaneous zygomycosis (mucormycosis) that complicated the securing of an endotracheal tube with cloth tape. Primary cutaneous mucormycosis is a rare fungal infection noted most often in immunosuppressed individuals. Cloth tape, of the type commonly used to secure endotracheal tubes, often is contaminated with fungal spores. In the case reported here, cloth tape securing the endotracheal tube was the probable vector for transmission of zygomycosis to a moderately imunocompromised host. Rapid diagnosis and combined medical and surgical therapy resulted in a favorable outcome.
Department of Medicine, University of Colorado Health Sciences Center, Denver 80262, USA.
M
M
Dickinson
T
T
Kalayanamit
C A
CA
Yang
G J
GJ
Pomper
C
C
Franco-Webb
D
D
Rodman
D000328:Adult; D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003881:Dermatomycoses / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D004197:Disease Reservoirs; D004866:Equipment Contamination; D005148:Facial Dermatoses / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016867:Immunocompromised Host; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D009091:Mucormycosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery / Q000635:transmission; D011018:Pneumonia, Pneumococcal / Q000150:complications; D012233:Rhizopus; D013170:Spores
D000935:Antifungal Agents; D000666:Amphotericin B