Mucorales-associated osteomyelitis in an immunocompetent child

Mucormycosis is an opportunistic, aggressive, luckily rare fungal infection that most commonly causes pulmonary, sinoorbital, gastrointestinal, and skin disease 1. Its incidence is 1.5% among invasive fungal infections 2. But, the mortality from mucormycosis is significantly high (>30-50%), with disseminated disease accounting for 90% of deaths. Patients with localized cutaneous disease have a much lower mortality rate while it is still significant (10-30%) 3. Although diabetic ketoacidosis and immunodeficiency are wellknown risk factors for the infection, cases of Cutaneous Mucormycosis (CM) in previously healthy subjects secondary to trauma have been reported 4. Following inoculation of the fungus into the skin, the infection can progress to the subcutaneous tissue, muscle, and bone. Osteoarticular Mucormycosis (OAM) is extremely rare. Even so, if not diagnosed and treated promptly, it can have serious consequences, including amputation of extremities and death. Herein, we describe a rare instance of mucorales-associated osteomyelitis in an immunocompetent child who survived amputation with the combination of antifungal therapy and surgery.