Apophysomyces trapeziformis infection associated with a tornado-related injury.
This report defines the role of Apophysomyces as an aggressive fungal pathogen seen after a tornado injury. Clinical and laboratory manifestations of infections after environmentally contaminated wounds incurred during a tornado are outlined, emphasizing mechanism of injury, comorbidities, and diagnostic and treatment challenges. Therapy with systemic antifungal therapy and aggressive serial tissue debridement was successful in achieving cure.
Children's Mercy Hospitals and Clinics, University of Missouri, Kansas City, MO, USA. gweddle@cmh.edu
Gina
G
Weddle
Kimberly
K
Gandy
Denise
D
Bratcher
Barbara
B
Pahud
Mary Anne
MA
Jackson
D000293:Adolescent; D000935:Antifungal Agents / Q000008:administration & dosage; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D009090:Mucorales / Q000302:isolation & purification*; D009091:Mucormycosis / Q000175:diagnosis* / Q000382:microbiology / Q000473:pathology* / Q000628:therapy; D055869:Tornadoes; D014947:Wounds and Injuries / Q000150:complications* / Q000382:microbiology
D000935:Antifungal Agents