In surgical practice, deep rooted cutaneous fungal infections are an unusual entity and are most frequently underdiagnosed. They are also currently known as Necrotising Fasciitis Type IV.
Goal: The aim of this paper is to raise awareness among clinicians of the existence and rapid lethality of deep seated fungal infections and to address the different strategies available to us to deal with these peculiar cases.Discussion: Here we identify an immunocompetent patient with a deep rooted cutaneous fungal infection and the problems we encountered during his management. The associated mortality is high due to the nature of the presentation, atypical symptoms, co-morbid conditions that cause immuno-compromise and slow but aggressive disease progression.
Conclusion: Clinicians are responsible for diagnosing fungal etiology early on and initiating effective anti-fungal steps. In patients with a deep rooted cutaneous fungal infection, a high index of suspicion, early aggressive recovery and use of empirical antifungals while cultures are awaited may prove lifesaving.
Author (s) Details
Dr. Samuel Dev Merlin
Saveetha Medical College and Hospital, Affiliated with Saveetha Institute of Medical and Technological Sciences, Chennai, India.
Dr. N. Bharath
Saveetha Medical College and Hospital, Affiliated with Saveetha Institute of Medical and Technological Sciences, Chennai, India.
Dr. K. R. Manoj Prabu
Saveetha Medical College and Hospital, Affiliated with Saveetha Institute of Medical and Technological Sciences, Chennai, India.
Prof. Dr. Khalilur Rahman
Saveetha Medical College and Hospital, Affiliated with Saveetha Institute of Medical and Technological Sciences, Chennai, India.
Prof. Dr. A. Rekha
Saveetha Medical College and Hospital, Affiliated with Saveetha Institute of Medical and Technological Sciences, Chennai, India.
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