Cutaneous mucormycosis of the upper extremity: a series of patients and review of the literature

We present our experience with three cases of cutaneous mucormycosis involving the upper extremity. One patient was on long-term steroid therapy for polymyalgia rheumatica and myelodysplastic syndrome. A second patient had an advanced HIV infection. The third patient presented following a renal transplantation for which he was on immunosuppressive therapy.All three patients had wide local excision of the eschar and skin graft as immediate coverage or as a delayed reconstruction. Systemic Amphotericin B treatment was given for varying durations according to the recommendation of the infectious disease service. All skin grafts healed with full resolution of the infectious process, but one patient died of pneumonia.