Cutaneous mucormycosis as a presenting feature of type 1 diabetes in a boy – case report and review of the literature
-
Ganesh Jevalikar
,
Siddhnath Sudhanshu
Abstract
Background:
Mucormycosis is a potentially fatal complication of diabetes. The rhino-orbito-cerebral form is the most common presentation, however, rarely other types can also be seen.
Case presentation:
We describe the case of a 4½ -year-old boy not previously known to be a diabetic who presented to the plastic surgery department for gangrene of the left middle finger with surrounding erythema and induration. After the diagnosis of diabetes and initial treatment, pus from the wound showed broad aseptate hyphae suggestive of mucormycosis which was further confirmed on culture. Aggressive surgical debridement including amputation, antifungal treatment and glycemic control achieved a complete cure.
Conclusions:
Cutaneous mucormycosis is a rare complication of type 1 diabetes mellitus and can even be seen at the onset of diabetes. High index of suspicion, timely antifungal treatment and aggressive surgical debridement usually lead to recovery in the localized form of the disease.
Acknowledgments
We are thankful to Dr. Rakesh Khajanchi (Department of Plastic, Reconstructive and Aesthetic Surgery, Medanta Medicity Hospital) and Prof. Vijayalakshmi Bhatia (Department of Endocrinology, Sanjay Gandhi PostGraduate Institute of Medical Sciences) for their guidance during the management of the case.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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Articles in the same Issue
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- Current status of the congenital hypothyroidism neonatal screening program in Adana Province, Turkey
- Risk of hypoglycemia in youth with type 2 diabetes on insulin
- Metabolic risk factors in adolescent girls with type 1 diabetes
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- Initial presentations and associated clinical findings in patients with classical congenital adrenal hyperplasia
- Cardiac examination in children with Laron syndrome undergoing mecasermin therapy
- Five novel ALMS1 gene mutations in six patients with Alström syndrome
- Case Reports
- Cutaneous mucormycosis as a presenting feature of type 1 diabetes in a boy – case report and review of the literature
- Severe lactic acidosis in an extremely low birth weight infant due to thiamine deficiency
- Exertional rhabdomyolysis in carbonic anhydrase 12 deficiency
Articles in the same Issue
- Frontmatter
- Editorial
- Congenital hypothyroidism
- Original Articles
- Does initial dosing of levothyroxine in infants with congenital hypothyroidism lead to frequent dose adjustments secondary to iatrogenic hyperthyroidism on follow-up?
- Incidence of congenital hypothyroidism in China: data from the national newborn screening program, 2013–2015
- The etiologies and incidences of congenital hypothyroidism before and after neonatal TSH screening program implementation: a study in southern Thailand
- Current status of the congenital hypothyroidism neonatal screening program in Adana Province, Turkey
- Risk of hypoglycemia in youth with type 2 diabetes on insulin
- Metabolic risk factors in adolescent girls with type 1 diabetes
- Definition of reference ranges for β-isomerized carboxy-terminal telopeptide collagen type I for children and adolescents
- Brown adipose tissue in young adults who were born preterm or small for gestational age
- Circulating soluble RAGE and cell surface RAGE on peripheral blood mononuclear cells in healthy children
- Predictors of bone maturation, growth rate and adult height in children with central precocious puberty treated with depot leuprolide acetate
- Trends in the use of puberty blockers among transgender children in the United States
- Initial presentations and associated clinical findings in patients with classical congenital adrenal hyperplasia
- Cardiac examination in children with Laron syndrome undergoing mecasermin therapy
- Five novel ALMS1 gene mutations in six patients with Alström syndrome
- Case Reports
- Cutaneous mucormycosis as a presenting feature of type 1 diabetes in a boy – case report and review of the literature
- Severe lactic acidosis in an extremely low birth weight infant due to thiamine deficiency
- Exertional rhabdomyolysis in carbonic anhydrase 12 deficiency
