Sawardekar Kiran P
Department of Pediatrics, Nizwa Hospital, Nizwa 611, Sultanate of Oman.
J Trop Pediatr. 2018 Dec 1;64(6):548-552. doi: 10.1093/tropej/fmx094.
We describe a case of progressive cutaneous mucormycosis, which caused gangrenous necrotizing fasciitis, in an immunocompetent neonate from Oman. Extensive wound contamination and a favorable environment for the growth of Mucorales were the predisposing factors. Early aggressive management including frequent wound debridement, targeted pharmacotherapy with liposomal amphotericin B and supportive care is pivotal for improved outcomes.
我们描述了一例来自阿曼的免疫功能正常的新生儿发生的进行性皮肤毛霉病,该病导致坏疽性坏死性筋膜炎。广泛的伤口污染以及有利于毛霉目真菌生长的环境是诱发因素。早期积极治疗,包括频繁的伤口清创、使用脂质体两性霉素B进行靶向药物治疗以及支持治疗,对于改善预后至关重要。