Case Report
Year: 2023 | Month: April | Volume: 10 | Issue: 4 | Pages: 237-239
DOI: https://doi.org/10.52403/ijrr.20230430
Mucormycosis in an Open Medial Malleolus Fracture: A Case Report
K Snehitha1, Swapna Sasapu2, Puvvula Kamala3, K Praveen4
1,4Post Graduate, Department of Microbiology, Andhra Medical College, Visakhapatnam, Andhra Pradesh 530002, India
2Assistant Professor, Department of Microbiology, Andhra Medical College, Visakhapatnam, Andhra Pradesh 530002, India
3Professor and HOD, Department of Microbiology, Andhra Medical College, Visakhapatnam, Andhra Pradesh 530002, India
Corresponding Author: Dr. Swapna Sasapu
ABSTRACT
Mucorales fungi of Zygomycetes class are found ubiquitously in the environment. Mucormycosis is uncommon and typically associated with patients who are diabetic or otherwise immunocompromised. Cutaneous mucormycosis in healthy patients is frequently the result of trauma and occurs via direct inoculation in to the traumatic wound. These fungal infections were associated with substantial morbidity and mortality. We report a case of 35 year old male patient presented to the casualty after sustaining machinery injury to the left ankle. Swab from the wound site was taken and processed for fungal isolation and identification done as per standard guidelines in Microbiology lab at Andhra Medical College. KOH mount shows broad aseptate hyaline hyphae. Culture on Sabouraud’s dextrose agar (SDA) agar showed cottony woolly colonies. Lactophenol Cotton Blue (LPCB) mount of colonies revealed broad aseptate hyaline hyphae with sporangiophores and sporangium without rhizoids. Mucor spp. was isolated and was correlated with clinical findings. The patient was kept on systemic anti-fungals and wound debridement with K-wire fixation and tendon repair was done. This case illustrated the need of timely microbiological diagnosis and the treatment with ideal anti-fungal agents that have substantial activity against cutaneous mucormycosis, may prove useful for preventing overwhelming infections.
Keywords: medial malleolus; fracture; cutaneous mucormycosis; KOH mount; aseptate hyphae
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