surgical debridement

Would global warming bring an increase of invertebrate-associated cutaneous invasive fungal infections?

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This paper discusses how invertebrate bites (from insects, spiders, and other small creatures) can transmit dangerous fungal infections to humans by directly injecting fungi into the skin. These infections are rare but serious, often causing tissue death and requiring amputation. As global warming increases temperatures, insect populations will expand into new areas, become more aggressive, and fungi may adapt to survive at higher temperatures, potentially making these infections more common and dangerous in the future.

Epidemiology and outcomes of Candida-associated osteoarticular infections: A multicentre retrospective study from Turkey

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This study examined 73 patients in Turkey who developed bone and joint infections caused by Candida fungi over ten years. The researchers found that diabetes was very common among patients and made recovery harder, while surgery to clean out infected tissue significantly improved outcomes. Importantly, they discovered resistance to common antifungal medications was higher in certain Candida species compared to others.

A rare case of invasive necrotizing myositis of the thigh caused by Basidiobolus ranarum: a multi-pronged approach to successfully managing a near-fatal polybacterial mycotic infection

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A 46-year-old man developed a severe, spreading infection of his thigh muscle caused by a rare fungus called Basidiobolus ranarum, likely from an insect bite years earlier that was neglected. The infection became life-threatening when bacteria also invaded the tissue, causing widespread muscle death and bloodstream infection. Doctors treated him with multiple antifungal medications, antibiotics, surgery, and eventually had to amputate his leg to save his life. After six weeks of intensive care combining several medications including potassium iodide and extended oral antifungal therapy, the wound finally healed.

Continuous debridement combined with short-term posaconazole therapy for cutaneous mucormycosis caused by Rhizopus oryzae infection secondary to acute myeloid leukemia: a case report

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An 80-year-old patient with acute myeloid leukemia developed a serious fungal skin infection caused by Rhizopus oryzae on his lower leg. Doctors treated the infection by repeatedly cleaning out the infected tissue and giving him an antifungal medication called posaconazole for just one week. Despite the short treatment duration due to cost concerns, the patient’s wound gradually healed over four months through continued surgical care, showing that sometimes focused surgical treatment can be as effective as long-term medication.

Brazilian task force for the management of mucormycosis

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Mucormycosis is a serious fungal infection that has become more common in Brazil, especially during COVID-19. This medical emergency requires rapid diagnosis through imaging and tissue sampling, combined with aggressive treatment including antifungal medications and surgery to remove infected tissue. The Brazilian government has made these powerful antifungal drugs more available to improve patient survival and reduce the severe complications of this dangerous infection.

Musculoskeletal Manifestations of Disseminated Fungal Infections

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Fungal infections can spread to bones and joints, causing serious complications especially in people with weakened immune systems. These infections are tricky to diagnose because their symptoms are similar to bacterial infections or other diseases. Treatment typically involves antifungal medications and sometimes surgery to remove infected tissue. Early detection and aggressive treatment are crucial for better patient outcomes.

Odontogenic-onset mucormycosis: A case series from a tertiary care institute in North India

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This case series describes five patients from India who developed a serious fungal infection in their jaw and mouth after dental procedures. All patients had uncontrolled diabetes, which weakened their immune system and allowed the fungus to grow. The infection was treated with anti-fungal medications and surgery, and most patients recovered well. The study emphasizes the importance of keeping dental equipment sterile and managing blood sugar levels properly before dental work.

Data analysis of patients with positive mould or dimorphic fungal cultures from sterile sites

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This study examined 48 patients with serious mould and fungal infections at a South African hospital between 2014-2017. Most infections occurred in people with weak immune systems, especially those with HIV. The most common fungal type was Aspergillus. Even with appropriate antifungal medicines, one-quarter of patients died, highlighting how serious these infections can be.

Invasive Cutaneous Mucormycosis in a Patient With Chronic Lymphocytic Leukemia on Obinutuzumab, Idelalisib, and Bruton Tyrosine Kinase Degrader: A Case Report

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A 74-year-old man with blood cancer developed a serious fungal skin infection caused by Mucorales while taking multiple targeted cancer drugs. The infection appeared as a darkening ulcer on his ankle that rapidly worsened. Doctors diagnosed it using a skin biopsy showing characteristic fungal structures, though standard fungal tests came back negative. The patient required amputation of his leg below the knee to remove all the infected tissue, along with antifungal medications, and ultimately recovered.

A case of flexor tenosynovitis caused by Cyberlindnera rhodanensis – First reported human infection

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A patient developed a fungal wrist infection caused by a yeast never before seen in humans, called Cyberlindnera rhodanensis. The infection required six surgeries and five months of antifungal medications to treat. This case shows that new fungal pathogens can cause serious infections even in healthy people, and highlights the importance of proper identification of organisms in medical cultures.

therapeutic action: surgical debridement