Fungal infections in the soft tissue: A study from a tertiary care center

Kindo, AJ; Rana, N. S.; Rekha, Arcot; Kalyani, J

doi:10.4103/0255-0857.62498

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…Kindo et al too reported diabetes mellitus to be the most common co-morbidity. 5 The lower extremities were the most common site affected in 68.3% of patients in this study similar to the observation of 64% lower limb involvement by Bhat et al 7 Among the subcutaneous mycoses, mycetoma (43.2%) was the most common infection similar to the study done at Jakarta (50%). 6 However, it is in contrast to the studies from Mangalore (Bhat et al) and Assam (Bordoloi et al) in which chromoblastomycosis was the commonest subcutaneous fungal infection seen in 64% and 40% of patients respectively.…”

Section: Discussionsupporting

confidence: 89%

“…The youngest age affected in this study was a 3year-old boy with subcutaneous zygomycosis, whereas the youngest age group in Kindo et al study was 9 year old child with candidiasis. 5 In the study by Bhat et al, the youngest age was 14 years and the mean age of patients with subcutaneous infection was 49.4 years but in this study the mean age was 38.4 years. 7 The differences in the youngest age can be explained by the fact that, there were no children with basidiobolomycosis reported in those studies.…”

Section: Discussionmentioning

confidence: 50%

“…The ratio of male to female was 2.7:1 which was in accordance to the earlier studies by Kindo et al and Yahya et al who reported a ratio of 3:1. 5,6 The frequency of subcutaneous fungal infections was more in males, which is due to the fact that they were more exposed to an environment, conducive to the spread of organisms. The most common age group affected was 41-50 years (29.2%).…”

Section: Discussionmentioning

confidence: 99%

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A prospective clinico mycological study of deep mycoses in a tertiary centre in Tamil Nadu

et al. 2018

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Background: Deep mycoses which includes subcutaneous mycoses and systemic mycoses, accounts for about 1% of the all the fungal infections seen in human beings. Though rare, these infections assume significance due to the increased morbidity and mortality associated with them. The objective of the study was to study the incidence, clinical presentation, aetiological agents and histopathological findings of deep mycoses in patients attending the mycology section, department of dermatology of a tertiary centre in Chennai.Methods: All Patients with clinical suspicion of deep mycoses who presented to mycology section during the period from November 2015 to September 2016 were screened. The samples from these patients were subjected to direct microscopy by potassium hydroxide wet mount, culture and histopathology.Results: Among the 8250 patients who attended mycology OPD, 41 patients (0.5%) had deep mycoses. The commonly affected age group was 41-50 yrs (29.7%). Males (73.2%) were predominantly affected. Of the 41 patients, 26.8% were immunocompromised. 37 patients (90.2%) had subcutaneous infection and 4 (9.8%) had opportunistic mycoses. Mycetoma (43.2%) was the most common subcutaneous mycoses. Mucormycosis (75%) and aspergillosis (25%) were the opportunistic mycoses observed. KOH positivity was 100%, while culture positivity was 65.7%. Madurella mycetomatis, Phialophora verrucosa, Rhizopus arrhizus and Aspergillus fumigatus were the common organisms isolated in this study.Conclusions: Mycetoma is the most common subcutaneous mycoses in this part of India. Eumycetoma is more common than actinomycetoma. Phaeohyphomycosis is on the rise. Simple KOH examination would pave way for an early diagnosis and prompt treatment of deep mycoses.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

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A prospective clinico mycological study of deep mycoses in a tertiary centre in Tamil Nadu

et al. 2018

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“…Of these, 34 publications are case reports documenting 39 cases of necrotizing fasciitis due to zygomycetes and are tabulated as Table 1 . The other 8 publications are institutional series documenting the occurrence of 96 cases of cutaneous zygomycosis among the overall spectrum of zygomycotic infections and are tabulated as Table 2 [38][39][40][41][42][43][44][45]. Another series by Mohapatra [46] did not clearly mention the number of cases of cutaneous infection, and is therefore not included in the final analysis.…”

Section: Resultsmentioning

confidence: 99%

Primary Cutaneous Zygomycosis in India

Kaushik

2012

Indian J Surg

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Cutaneous zygomycosis remains underdiagnosed despite being frequently encountered. Delay in the diagnosis contributes to delay in treatment, and a resultant high morbidity and mortality. A retrospective analysis of the reported cases of cutaneous zygomycosis from India was made using various search engines and cross-referencing from available manuscripts. A total of 42 publications from India on the topic were identified, since the first reported case of primary cutaneous zygomycosis by Veliath et al. (1976). There are 130 described cases of cutaneous zygomycosis with an overall mortality of 35 %. The commonest zygomycete identified was Apophysomyces elegans, and the commonest predisposing factor was breach of the skin. Surprisingly, diabetes was reported only in 36 cases (27.69 %). It is important to be aware of this unusual but fatal infection in order to manage it properly and have a good outcome.

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“…Interesting that you mentioned Apophysomyces as this is the only case report we find when we key in 'fungal cellulitis and road accident.' This describes a fatal case related to Apophysomyces elegans [10]. Your comment about its growing well on blood agar is also positive for us as our microbiologists say that they had to actually aspirate the material from the blood agar bottle and transfer it to Sabourad's media (as there was no further pus from the patient available for a separate inoculation after our surgeons had drained it).…”

Section: Collaborative Online Intervention With Email Person and Profmentioning

confidence: 99%

Person-centered healthcare in the information age: Experiences from a user driven healthcare network

Price¹,

Biswas²,

Biswas³

2013

EJPCH

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Person-centered healthcare is central to the practice of compassionate medicine. The practice of person-centered healthcare occurs when intuitive and organizational thinking is engaged harmoniously, rather than in competition. Present healthcare systems relegates core providers and patients to 10-minute appointments for the purpose of meeting budgetary or patient access targets. It is unrealistic to expect such a system to be sufficient to share values and expertise. Often, important questions are left to those without the experience or expertise to answer. Person-centered healthcare can empower people to escape from fragmented medical care and displaced knowledge. The roles of patient and doctor can better serve medicine by asking all to go beyond their assigned roles to communicate and form relationships. These working partnerships will respect individual and role-based values, strengths and weaknesses. Being a patient is a condition or state somewhere between death and life that it is common to all. The patient is not an entity, but a person. Providing medical care is a profession, it is what physicians do, not who they are. Without cooperation between doctor and patient, medical intervention loses power and effectiveness. The consultation may be temporarily seized by social force and dominance, but it is maintained by respect and relationship. Respect is earned and negotiated by listening, observing and then acting in the best interests of others. This requires sensitive negotiation and the desire to build the bridges in medicine between knowledge and need. Great negotiators make it their business to know the strengths, values, needs and limitations of others. Power is intrinsically bound to what we value. What we value is what we will invest in. Let us assess the conditions we have to work with, reason together and build respect, access and relationships in healthcare.

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Fungal infections in the soft tissue: A study from a tertiary care center

Cited by 8 publications

References 10 publications

A prospective clinico mycological study of deep mycoses in a tertiary centre in Tamil Nadu

A prospective clinico mycological study of deep mycoses in a tertiary centre in Tamil Nadu

Primary Cutaneous Zygomycosis in India

Person-centered healthcare in the information age: Experiences from a user driven healthcare network

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