RESUMO
Apophysomyces elegans is an uncommon human pathogen that causes deeply invasive infections in immunocompromised patients and cutaneous infection in immunocompetent patients. We report the development of severe deep soft tissue zygomycosis caused by A. elegans in an otherwise healthy child after trauma. She was successfully treated with surgical debridements and antifungal therapy with liposomal amphotericin B. A review of the literature indicates that zygomycosis caused by A. elegans is associated with traumatic inoculation.
Assuntos
Fasciite Necrosante/diagnóstico , Fasciite Necrosante/terapia , Mucormicose/diagnóstico , Mucormicose/terapia , Phycomyces/isolamento & purificação , Acidentes de Trânsito , Antibacterianos , Antifúngicos/uso terapêutico , Criança , Terapia Combinada , Desbridamento/métodos , Quimioterapia Combinada/uso terapêutico , Fasciite Necrosante/etiologia , Feminino , Seguimentos , Humanos , Traumatismo Múltiplo/complicações , Traumatismo Múltiplo/diagnóstico , Medição de Risco , Índice de Gravidade de Doença , Resultado do TratamentoRESUMO
Group B Streptococcus can cause early onset neonatal disease. Beyond neonatal life, group B Streptococci are unusual pathogens. It can cause septicemia, epiglottis, fascitis, and endocarditis. A male Saudi child with group B endocarditis who has congenital heart disease is discussed.
