Three cases of cutaneous mucormycosis with Lichtheimia spp. (ex Absidia/Mycocladus) in ICU. Possible cross-transmission in an intensive care unit between 2 cases

J Mycol Med. 2013 Dec;23(4):265-9. doi: 10.1016/j.mycmed.2013.09.002. Epub 2013 Oct 18.

Abstract

Mucormycoses are rare but emerging diseases with poor prognosis caused by ubiquitous fungi from the environment. In November 2008, our teaching hospital experienced three cutaneous mucormycosis due to Lichtheimia spp. (ex Absidia/Mycocladus) in the intensive care and orthopaedic units. Environmental and epidemiological investigations suggested a possible cross-transmission of L. ramosa between two patients in intensive care. This is the first report of possible person-to-person transmission of mucormycosis species. These cases show the ineffectiveness of hydro-alcoholic solutions against spores and underline the need to respect standard precautions to prevent fungi dissemination.

Keywords: Absidia; Cross-transmission; Cutaneous; Lichtheimia; Mucormycose cutanée; Mucormycoses; Mycocladus; Transmission croisée.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Air Microbiology
  • Amputation, Surgical
  • Coinfection
  • Community-Acquired Infections / microbiology
  • Cross Infection / microbiology*
  • Cross Infection / transmission
  • Dermatomycoses / epidemiology
  • Dermatomycoses / microbiology*
  • Dermatomycoses / transmission
  • Foot Injuries / microbiology
  • Foot Injuries / surgery
  • Fractures, Open / microbiology
  • France / epidemiology
  • Hospitals, Teaching
  • Humans
  • Intensive Care Units*
  • Ischemia / complications
  • Ischemia / surgery
  • Leg / blood supply
  • Leg Injuries / microbiology
  • Leg Injuries / surgery
  • Male
  • Middle Aged
  • Mucorales / isolation & purification*
  • Mucormycosis / epidemiology
  • Mucormycosis / microbiology*
  • Mucormycosis / transmission
  • Mycological Typing Techniques
  • Operating Rooms
  • Personnel, Hospital
  • Postoperative Complications / microbiology
  • Wound Infection / microbiology
  • Young Adult