Asunto(s)
Cavidad Abdominal/cirugía , Abdominoplastia/métodos , Cirugía Bariátrica/métodos , Movimiento y Levantamiento de Pacientes/métodos , Procedimientos de Cirugía Plástica/métodos , Abdominoplastia/instrumentación , Aire , Cirugía Bariátrica/instrumentación , Humanos , Movimiento y Levantamiento de Pacientes/instrumentación , Procedimientos de Cirugía Plástica/instrumentaciónRESUMEN
A man injured in the tsunami of Dec 26, 2004, returned to Sydney for management of his soft-tissue injuries. Despite broad-spectrum antibiotics, surgical wound debridement, and vigilant wound care, his condition worsened. Muscle and fat necrosis developed in a previously debrided thigh wound, and necrotising lesions arose from previous abrasions. Histological analysis showed mucormycosis in three non-contiguous sites, and Apophysomyces elegans was isolated from excised wound tissue. Wound infections, both bacterial and fungal, will undoubtedly add to the morbidity and mortality already recorded in tsunami-affected areas. Other cases [correction] of cutaneous mucormycosis might develop in survivors, but this disease can be difficult to diagnose and even harder to treat, particularly in those remaining in affected regions.