Successful management of mucormycosis at intravenous cannula site in a severely burned patient: Many lessons still to be learned
Director, Sushrut Plastic Surgery Research Center, Ahmedabad, India
Hemant Saraiya Director, Sushrut Plastic Surgery Research Center, Ahmedabad India
Source of Support: None, Conflict of Interest: None
Mucormycosis is a dreadful condition. Although few cases of mucormycosis in patients suffering from burn have been reported, literature has yet to report a case of mucormycosis at the intravenous cannula site, in patients suffering from severe burns. A 30 year old male labourer sustained 50% 2nd and 3rd degree flame burns. On the 6th day he developed mucormycosis at the intravenous cannula site around right elbow with severe septicemia. On debridement the underlying muscles and median nerve were found to be necrosed with thrombosis of brachial artery just above the elbow. Higher antibiotics and systemic amp hotericin B were administered to counter bacterial as well as fungal septicemia. Multiple debridements were required and split thickness skin graft was applied to cover the raw area. The underlying necrotic medial epicondyle of humerus had to be removed also. Sustained efforts were required not only to save the life of the patient but also to salvage the right upper limb of this young manual worker. The patient now requires tendon transfers to improve his hand function further.