A Case of Primary Multifocal Cutaneous Mucormycosis in a Pediatric Patient with Newly Diagnosed Acute Lymphoblastic Leukemia

Mucormycosis, caused by the widespread molds of the <i>Mucorales</i> order, is an insidious infection that manifests in different clinical forms. Even the most benign form, the cutaneous mucormycosis, can present with severe complications and a fatal outcome in patients with a suppressed...

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Bibliographic Details
Main Authors: Denis Niyazi, Milena Belcheva, Stoyan Vergiev, Valeria Kaleva, Temenuga Stoeva
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/5/905
Description
Summary:Mucormycosis, caused by the widespread molds of the <i>Mucorales</i> order, is an insidious infection that manifests in different clinical forms. Even the most benign form, the cutaneous mucormycosis, can present with severe complications and a fatal outcome in patients with a suppressed immune system and underlining comorbidities. We present a rare case of a proven primary multifocal cutaneous mucormycosis in a child with newly diagnosed acute leukemia without multiorgan dissemination. Various laboratory techniques (histopathological, cultural and molecular-genetic) were used to detect and confirm the diagnosis. Etiological therapy (liposomal amphotericin B, 5 mg/kg) combined with surgical intervention were used to manage the infection. The case shows that a rapid and complex diagnostic approach is of crucial importance for the timely initiation of adequate therapy, as well as for the successful management of this life-threatening fungal infection.
ISSN:1010-660X
1648-9144