Combat Trauma–Related Invasive Fungal Wound Infections

David R. Tribble*, Anuradha Ganesan, Carlos J. Rodriguez

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations


Purpose of Review: This review highlights research from the past 5 years on combat trauma-related invasive fungal wound infections (IFIs) with a focus on risk stratification to aid patient management, microbiology, and diagnostics. Recent Findings: A revised classification scheme stratifies wounds into three risk groups: IFI, high suspicion of IFI, and low suspicion of IFI. This stratification is based on persistence of wound necrosis and laboratory fungal evidence, presence of signs/symptoms of deep soft-tissue infections, and the need for antifungals. Use of this classification could allow for prioritization of antifungal therapy. Further, IFIs delay wound healing, particularly when caused by fungi of the order Mucorales. Lastly, molecular sequencing offers promising and complimentary results to the gold standard histopathology. Summary: Optimal management of combat-related IFIs depends on early tissue-based diagnosis with aggressive surgical debridement and concomitant dual antifungal therapy. Further research on clinical decision support tools and rapid diagnostics is needed.

Original languageEnglish
Pages (from-to)186-196
Number of pages11
JournalCurrent Fungal Infection Reports
Issue number2
StatePublished - 1 Jun 2020


  • Combat-related
  • Invasive fungal infections
  • Mucormycosis
  • Trauma-related
  • Wound infections


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