Kasmera (Aug 2005)
Cutaneous Mucormycosis in Premature Newborn Babies: A Case Report
Abstract
Introduction: Mucormycosis is a serious infection cause by opportunist fungus, of the mucoral type, and results in high mortality. It is more frequent in immuno-suppressed patients and associated with debilitating diseases. One of the presentation forms is cutaneous. Case report: A premature newborn female, with 34 weeks of gestation, was admitted in the intensive care unit with hyaline membrane disease as the only concern. On the fifth day of hospitalization a purple round pointed lesion in the left cheek appeared that became a profound necrosis. Treatment began with imipenen, vancomicin, and amikacin, together with surgical debridement. Cultures and histo-pathological studies showed non-septate hyphae, and cultures identified Rhizopus sp. As soon as the culture results were available, additional treatment with amphotericin B 1.5 mg per Kg per day was initiated . The evolution of patient was satisfactory and she was released from the intensive care unit. Conclusion: We observed how important the immunological state of the patient is, and treatment must be aggressive, multidisciplinary and always oriented to each individual case.
