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MUCORMYCOSIS IN SEVERELY BURNED PATIENTS. REPORT OF TWO CASES PRESENTING EXTENSIVE DESTRUCTION OF THE FACE AND NASAL CAVITY
BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TEX
Two cases of fatal mucormycosis presenting rapid widespread destruction of the face and nasal cavity are reported as a complication of extensive cutaneous burn injury. Both patients exhibited direct meningeal extension of this mycotic infection in addition to visceral involvement. Early recognition of mucormycosis infection depends upon its distinctive dry, black, ischemic necrosis of the face and nasal cavity with early spread to the orbit and meninges. This unusual clinical picture has been described most often in patients with diabetes mellitus, but has not been reported previously in severely burned patients. Author