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Necrotizing Cutaneous Mucormycosis after a Tornado in Joplin, Missouri, in 2011
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Necrotizing Cutaneous Mucormycosis after a Tornado in Joplin, Missouri, in 2011
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Journal Article
Necrotizing Cutaneous Mucormycosis after a Tornado in Joplin, Missouri, in 2011
2012
Overview
In May 2011, a tornado struck Joplin, Missouri. A cluster of mucormycosis infections was identified in 13 patients injured during the tornado. All cases were associated with penetrating trauma.
Mucormycosis (formerly known as zygomycosis) is a rare infection caused by molds belonging to the subphylum Mucoromycotina in the order Mucorales.
1
These fungi are ubiquitous in nature, particularly in soil, decaying wood, and other organic matter.
2
Mucormycetes have an affinity for iron-rich, acidic environments; iron-overload states and acidemia are risk factors for infection.
3
A classic feature of mucormycosis is tissue necrosis as a result of vascular invasion and subsequent thrombosis.
3
,
4
Although mucormycosis predominantly affects immunocompromised persons, cutaneous mucormycosis may also occur after trauma in immunocompetent persons.
4
–
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On May 22, 2011, a tornado rated EF-5 (the highest category on . . .
Publisher
Massachusetts Medical Society
Subject
/ Adult
/ Aged
/ Biological and medical sciences
/ Dermatomycoses - epidemiology
/ Fasciitis, Necrotizing - epidemiology
/ Fasciitis, Necrotizing - etiology
/ Fasciitis, Necrotizing - mortality
/ Female
/ Fungi
/ Genomes
/ Humans
/ Injuries
/ Male
/ Mucorales - isolation & purification
/ Mycoses
/ Soft Tissue Infections - epidemiology
/ Soft Tissue Infections - etiology
/ Soft Tissue Infections - mortality
/ Trauma
/ Wounds
