Invasive cutaneous fungal infections requiring radical resection in cancer patients undergoing chemotherapy.

Abstract:

:Invasive fungal infections have emerged as a significant problem in patients with cancer with the development of better systemic therapies for malignancy and more effective antibacterial agents. The currently available world published medical literature was reviewed on invasive fungal infections in cancer patients with specific attention devoted to the multidisciplinary role of surgery in refractory cutaneous cases. Infections can develop on the forearm where peripheral intravenous catheters had been inserted in cancer patients undergoing cytotoxic chemotherapy. Curative intent begins with systemic contemporary anti-fungal therapy. Following resolution of neutropenia, patients may require radical surgical debridement with negative margins of resection for complete eradication of the fungal infection. Although invasive fungal infections refractory to antifungal systemic therapy in immunocompromised patients undergoing chemotherapy are a rare event, it is critical for surgeons and other multidisciplinary clinicians to recognize these potentially life-threatening infections that may necessitate radical surgical resection for cure.

journal_name

J Surg Oncol

authors

Radhakrishnan R,Donato ML,Prieto VG,Mays SR,Raad II,Kuerer HM

doi

10.1002/jso.20115

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

21-26

issue

1

eissn

0022-4790

issn

1096-9098

journal_volume

88

pub_type

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