Drug Discov Ther. 2018;12(6):374-378. (DOI: 10.5582/ddt.2018.01064)
Two cases of Osteoarticular Mucor menace: A diagnostic and management conundrum.
Bhatt M, Fazal F, Soneja M, Kumar P, Jorwal P, Baitha U, Vyas S, Sachdev J, Xess I, Singh G, Alam S, Biswas A
Mucormycosis is an uncommon aggressive fungal infection usually seen in immunocompromised hosts or patients with burns and trauma. The common presentations include rhino-orbital-cerebral and pulmonary involvement. Osteoarticular involvement is a rare presentation of this disease. We present two cases of osteoarticular mucormycosis of pelvis and long bones of the lower limb, one in a patient with burn injury and other one in a patient with chronic granulomatous disease, hitherto a rarely reported association. Delayed diagnosis in a setting where tuberculosis is a common cause of chronic osteomyelitis, challenges in medical and surgical management of these patients are discussed in this report.