Cutaneous zygomycosis (mucormycosis) complicating endotracheal intubation: diagnosis and successful treatment

Chest. 1998 Jul;114(1):340-2. doi: 10.1378/chest.114.1.340.

Abstract

Diagnosis and successful therapy for primary cutaneous zygomycosis (mucormycosis) that complicated the securing of an endotracheal tube with cloth tape. Primary cutaneous mucormycosis is a rare fungal infection noted most often in immunosuppressed individuals. Cloth tape, of the type commonly used to secure endotracheal tubes, often is contaminated with fungal spores. In the case reported here, cloth tape securing the endotracheal tube was the probable vector for transmission of zygomycosis to a moderately imunocompromised host. Rapid diagnosis and combined medical and surgical therapy resulted in a favorable outcome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use
  • Antifungal Agents / therapeutic use
  • Dermatomycoses / diagnosis
  • Dermatomycoses / drug therapy
  • Dermatomycoses / etiology*
  • Dermatomycoses / surgery
  • Disease Reservoirs
  • Equipment Contamination
  • Facial Dermatoses / diagnosis
  • Facial Dermatoses / drug therapy
  • Facial Dermatoses / microbiology*
  • Facial Dermatoses / surgery
  • Female
  • Follow-Up Studies
  • Humans
  • Immunocompromised Host
  • Intubation, Intratracheal / adverse effects*
  • Lupus Erythematosus, Systemic / complications
  • Mucormycosis / diagnosis
  • Mucormycosis / drug therapy
  • Mucormycosis / etiology*
  • Mucormycosis / surgery
  • Mucormycosis / transmission
  • Pneumonia, Pneumococcal / complications
  • Rhizopus*
  • Spores

Substances

  • Antifungal Agents
  • Amphotericin B