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Case Reports in Infectious Diseases
Volume 2014 (2014), Article ID 954186, 4 pages
http://dx.doi.org/10.1155/2014/954186
Case Report

Mixed Fungal Infection (Aspergillus, Mucor, and Candida) of Severe Hand Injury

1Clinic of Plastic and Reconstructive Surgery, Clinical Center of Vojvodina, Hajduk Veljkova 1, 21000 Novi Sad, Serbia
2Department of Surgery, Faculty of Medicine of Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia
3Institute of Pathology, Faculty of Medicine of Novi Sad, University of Novi Sad, 21000 Novi Sad, Serbia

Received 30 December 2013; Accepted 18 February 2014; Published 13 March 2014

Academic Editors: J.-F. Faucher, M. Ghate, C. L. Gibert, and P. Horrocks

Copyright © 2014 Milana Obradovic-Tomasev et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Severe hand injuries are almost always heavily contaminated and hence wound infections in those patients are frequent. Fungal wound infections are rare in immunocompetent patients. A case of mixed fungal infection (Aspergillus, Mucor, and Candida) was documented in a young male patient, with a severe hand injury caused by a corn picker. The diagnosis of fungal infection was confirmed microbiologically and histopathologically. The treatment was conducted with repeated surgical necrectomy and administration of antifungal drugs according to the antimycogram. After ten weeks the patient was successfully cured. The aggressive nature of Mucor and Aspergillus skin infection was described. A high degree of suspicion and a multidisciplinary approach are necessary for an early diagnosis and the initiation of the adequate treatment. Early detection, surgical intervention, and appropriate antifungal therapy are essential in the treatment of this rare infection that could potentially lead to loss of limbs or even death.