Rhizopus necrotizing fasciitis of caesarean wound - a rare life threatening condition.
Mucormycosis is a rare cause of necrotizing fasciitis in immunocompromised patients. We report a young female, who developed rhizopus necrotizing fasciitis of caesarean wound. The lady died secondary to non-responding sepsis and irreversible multi-organ failure. High index of suspicion can lead to early diagnosis by frozen section of histopathology and fungal culture technique. Aggressive surgical debridement and intravenous anti-fungal medication is the main stay of treatment. A delay in diagnosis and treatment may cause multi-organ failure leading to high mortality.
Alvi
Abdul Rehman
AR
Department of Surgery, The Aga Khan University Hospital, Karachi. rehman.alvi@aku.edu
Shamsi
Ghina
G
D002585:Cesarean Section / Q000009:adverse effects*; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009091:Mucormycosis / Q000209:etiology* / Q000382:microbiology; D009102:Multiple Organ Failure; D011247:Pregnancy; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000150:complications* / Q000382:microbiology