Brief Communication »
Index: WOUNDS. 2013;25(5):136–140.
Abstract: Primary cutaneous mucormycosis is a rare disease in the immunocompetent, and research on this condition is limited to case reports. Clinical presentation is not sufficiently distinctive to allow a diagnosis and the immunocompetent state precludes even the suspicion of the condition. There is agreement in literature regarding the absence of guidelines for its treatment. Most reports have used a combination of aggressive and repeated surgical debridement and systemic antifungals, usually amphotericin B. The authors propose the use of vacuum-assisted closure technology in managing these wounds with a possible role in decreasing the number and extent of debridement and limiting deeper tissue damage.
Key words: cutaneous mucormycosis, vacuum-assisted closure, immunocompetent host
Editorial Message »
Several years ago, a number of well-meaning people began looking into the practice of medicine and decided that they could improve it. With their help and guidance, and, of course, oversight, the quality of medicine could be improved, and certainly the cost could be reduced. We were told there were certain events happening to patients that should never happen if we were providing quality care. Healthcare providers were making too many mistakes in taking care of patients. If we only had more guidelines for practice and rules governing some types of treatment, we would make the practice of medicine what it should have been all along. As a result of these ideas, we have been “blessed” with much wisdom in the form of guidelines, rules, and regulations. For the most part, the medical community went right along with these well-meaning individuals and bought in to the changes.
Letters to the Editor »
Pressure ulcer formation is a complex process. Many environmental and systemic factors contribute to their development, with excessive and prolonged pressure being the most important factor.1,2
Pressure that exceeds the end-capillary bed pressure impairs tissue perfusion, and prolonged pressure deprives tissues of oxygen and essential nutrients, leading to ischemia and subsequent ulceration.2
Pressure ulcers mostly occur on the areas of skin overlying bony prominences.2 Here, we report an unusual pressure ulcer of the left arm caused by the cuff of a sphygmomanometer.