PMC3336252_01
Microscopic sample obtained from patient's wounds. It shows presence of mucor sp.
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fig1
The patient continued her amoxicillin and eleven days after the dog bite, she returned to the urgent care center for the fourth time and once again was told that the culture grew the same bacteria and mold, which was later identified as Enterobacter cloacae and Mucor species (Figure 1).
Ulcerative, nodular wounds on the dorsum of bilateral hands where patient sustained dog bites. Left hand is worse than right.
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fig2
At the Infectious Disease Clinic, her exam was remarkable for normal vital signs and bilateral hand ulcers, left greater than right (Figure 2).
Patient's left hand following surgical debridement.
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fig3
The surgeons debrided down through the subcutaneous tissue to the level of the peritenon, which are the connective tissue structures attached to and surround the tendon (Figure 3).