Postburn Auricular Mucormycosis in an Immunocompetent Patient: Early Diagnosis and Multidisciplinary Management

Mucormycosis is a rare, rapidly progressive fungal infection that can cause devastating tissue destruction, particularly in vulnerable settings. We report a rare case of postburn auricular mucormycosis in a previously healthy, immunocompetent patient. After a motor vehicle accident that caused extensive burns, the patient developed dead tissue in both ears and pus in the ear discharge. A quick evaluation by an ear, nose, and throat (ENT) specialist, a bedside biopsy, and lab tests confirmed invasive mucormycosis. We promptly initiated systemic amphotericin B and performed extensive surgical debridement of all infected tissue. This approach resulted in sustained resolution of the infection, with no evidence of recurrence at subsequent follow-up. This case highlights the importance of being alert to this condition, diagnosing it early, and using a team approach to manage mucormycosis related to burns. Quick action is crucial to reduce the risk of death and improve functional and mental health outcomes in these difficult infections. Reports of auricular mucormycosis following burn injury in immunocompetent individuals are exceedingly uncommon, highlighting the clinical relevance of this case.

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Publication Details

Journal
Cureus
Published
2025-11-14
DOI
https://doi.org/10.7759/cureus.96835
Primary Topic
Antifungal resistance and susceptibility
Type
article
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article

Postburn Auricular Mucormycosis in an Immunocompetent Patient: Early Diagnosis and Multidisciplinary Management

Shadi Shinnawi, Rafat Dawayme, Muhammad Zahlaka
Cureus
Antifungal resistance and susceptibility
article

Postburn Auricular Mucormycosis in an Immunocompetent Patient: Early Diagnosis and Multidisciplinary Management

Shadi Shinnawi, Rafat Dawayme, Muhammad Zahlaka
article en

Abstract

Mucormycosis is a rare, rapidly progressive fungal infection that can cause devastating tissue destruction, particularly in vulnerable settings. We report a rare case of postburn auricular mucormycosis in a previously healthy, immunocompetent patient. After a motor vehicle accident that caused extensive burns, the patient developed dead tissue in both ears and pus in the ear discharge. A quick evaluation by an ear, nose, and throat (ENT) specialist, a bedside biopsy, and lab tests confirmed invasive mucormycosis. We promptly initiated systemic amphotericin B and performed extensive surgical debridement of all infected tissue. This approach resulted in sustained resolution of the infection, with no evidence of recurrence at subsequent follow-up. This case highlights the importance of being alert to this condition, diagnosing it early, and using a team approach to manage mucormycosis related to burns. Quick action is crucial to reduce the risk of death and improve functional and mental health outcomes in these difficult infections. Reports of auricular mucormycosis following burn injury in immunocompetent individuals are exceedingly uncommon, highlighting the clinical relevance of this case.

CureusVol. 17(11)
Wolfson Medical Center (IL), Rambam Health Care Campus (IL), Hillel Yaffe Medical Center (IL), UC Davis Health (US)
Openalex Percentile: Top 60%
Antifungal resistance and susceptibility
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Postburn Auricular Mucormycosis in an Immunocompetent Patient: Early Diagnosis and Multidisciplinary Management — Shadi Shinnawi, Rafat Dawayme, et al. · Cureus (2025) | TGRS Research Map | TGRS