Vzácná invazivní fungální infekce Mucor circinelloides a Fusarium u imunokompetentního pacienta po devastačním poranění dolní končetiny s rekonstrukcí volným lalokem m. latissimus dorsi

Title in English Rare Mucor circinelloides and Fusarium infection in latissimus free flap reconstruction after devastating foot injury in non-neutropenic patient
Authors

HOLOUBEK Jakub KNOZ Martin LIPOVÝ Břetislav BARTOSKOVA J. KOCMANOVA I. HANSLLANOVA M. KRTIČKA Milan KUBEK Tomáš

Year of publication 2020
Type Article in Periodical
Magazine / Source Epidemiologie, mikrobiologie, imunologie
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.prolekare.cz/casopisy/epidemiologie/2020-2-24/rare-mucor-circinelloides-and-fusarium-infection-in-latissimus-free-flap-reconstruction-after-devastating-foot-injury-in-non-neutropenic-patient-123373
Keywords filamentous fungi; infection; free flap; reconstruction
Description Nowadays, free flap reconstruction in devastating lower limb trauma is a standard procedure in reconstructive surgery. I he greatest factor directly affecting limb salvage is still the risk of infectious complications, whether local or systemic. Fungal wound infections are not among the most common infection complications in surgery, but their low incidence is compensated for by their fulminant and serious course, as well as severe local tissue destruction and strong angio-invasive potential together with the possibility of dissemination. In this case study, we present an example of a devastating lower leg injury, solved using latissimus free flap reconstruction, with subsequent difficult-and prolonged healing, due to an invasive filamentous fungi infection. In the final part of the article, we focus briefly on the occurrence of similar cases in the literature.

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