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Clinical Pediatrics
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Post-traumatic Cutaneous Mucormycosis in Diabetes Mellitus

Short-term Antifungal Therapy

Kathleen Ryan-Poirier, MD

LeBonheur Children's Medical Center, 848 Adams Avenue, Memphis, TN 38103

Robert M. Eiseman, MD

LeBonheur Children's Medical Center, 848 Adams Avenue, Memphis, TN 38103

James H. Beaty, MD

LeBonheur Children's Medical Center, 848 Adams Avenue, Memphis, TN 38103

Philip G. Hunt, MD

LeBonheur Children's Medical Center, 848 Adams Avenue, Memphis, TN 38103

George A. Burghen, MD

LeBonheur Children's Medical Center, 848 Adams Avenue, Memphis, TN 38103

Robert J. Leggiadro, MD

LeBonheur Children's Medical Center, 848 Adams Avenue, Memphis, TN 38103

Mucormycosis is infrequently encountered in the pediatric population in any of its forms (nasopharyngeal, disseminated, pulmonary, or cutaneous) and generally is associated with the immunocompromised host.

We present an adolescent with poorly controlled diabetes mellitus who developed a progressive skin lesion 3 weeks after a motor vehicle accident. Rhizopus species was isolated from the lesion, and the biopsy revealed a fungal vasculopathy. Control of her diabetes, aggressive surgical intervention and a 10-day course of antifungal therapy (amphotericin B) resulted in a favorable outcome.

This article illustrates the importance of considering cutaneous fungal infections, especially those in the class zygomycetes, in the diabetic patient with unusual, severe or persistent skin lesions. Early recognition is essential in order to avoid morbidity and mortality from this unusual opportunistic infection.

Clinical Pediatrics, Vol. 27, No. 12, 609-612 (1988)
DOI: 10.1177/000992288802701209
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