Importance of Mycologic Evaluation in Chronic Non Healing Ulcers DD01-DD03
Dr. Anuradha Sharma,
Associate Professor, Department of Microbiology, All India Institute of Medical Sciences, Jodhpur-342005, Rajasthan, India.
Chronic non healing ulcers are caused by various aetiologies ranging from infections, autoimmune disorders to neoplasms. Fungal infections are important yet neglected cause of non healing ulcers. In most of these instances there is a history of direct inoculation due to minor trauma. Presence of immuno-compromised state is an important risk factor. In this case report, we are discussing a case of 48-year-old immunocompetent female patient, who had undergone local debridement at a rural hospital about eight months back on her left foot, later she developed a chronic non healing ulcer at the site. Chronic non healing ulcers should always be investigated for bacterial as well as fungal aetiologies despite patientís normal immune status to prevent misuse of antibiotics along with prolonged disability of the patient.