Your browser doesn't support javascript.
loading
Infection Due to Saksenaea vasiformis Following a Spider Bite.
Fernández Tormos, Esther; Corella Montoya, Fernando; Martínez Izquierdo, María Ángeles; Sánchez-Artola, Beatriz; Limousin Aranzabal, Borja; Larraínzar-Garijo, Ricardo.
Afiliación
  • Fernández Tormos E; Orthopaedic and Trauma Department, Complutense University of Madrid, Madrid, Spain.
  • Corella Montoya F; Orthopaedic and Trauma Department, Complutense University of Madrid, Madrid, Spain; Hand Surgery Unit, Quironsalud University Hospital, Madrid, Spain; School of Medicine, Complutense University of Madrid, Madrid, Spain. Electronic address: Fernando.corella@gmail.com.
  • Martínez Izquierdo MÁ; Anatomical Pathology Department, Infanta Leonor University Hospital, Madrid, Spain.
  • Sánchez-Artola B; Internal Medicine and Infectious Disease Department, Infanta Leonor University Hospital, Madrid, Spain.
  • Limousin Aranzabal B; Orthopaedic and Trauma Department, Complutense University of Madrid, Madrid, Spain.
  • Larraínzar-Garijo R; Orthopaedic and Trauma Department, Complutense University of Madrid, Madrid, Spain; School of Medicine, Complutense University of Madrid, Madrid, Spain.
J Hand Surg Am ; 44(7): 619.e1-619.e5, 2019 Jul.
Article en En | MEDLINE | ID: mdl-30344020
ABSTRACT
Cutaneous mucormycosis due to Saksenaea vasiformis species is exceptional. There have been about 40 reported cases worldwide, with most being fatal. We report an exceptional nonlethal case of mucormycosis due to S. vasiformis following a spider bite. The patient was in an immunosuppressed state owing to previous chemotherapy and diabetes mellitus. The origin of the inoculation was the bite of a Loxosceles laeta spider, which caused loxoscelism. The initial skin injury was quickly progressive, requiring amputation of the right upper limb. After surgical intervention and suitable antifungal treatment, the patient was discharged with resolution of accompanying pulmonary disease. Infections due to S. vasiformis are probably underdiagnosed. To avoid fatal outcomes, a high index of clinical suspicion in patients with quickly progressive necrotic lesions of soft tissues and systemic dissemination is important.
Asunto(s)
Palabras clave

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Picaduras de Arañas / Dermatomicosis / Mucormicosis Límite: Aged / Humans / Male Idioma: En Revista: J Hand Surg Am Año: 2019 Tipo del documento: Article País de afiliación: España

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Picaduras de Arañas / Dermatomicosis / Mucormicosis Límite: Aged / Humans / Male Idioma: En Revista: J Hand Surg Am Año: 2019 Tipo del documento: Article País de afiliación: España