Abstract
More than 1,000 people were injured when a severe tornado ripped through Joplin, Missouri, on 22 May 2011, and 158 eventually died.1 Within a few days of the tornado, several of the injured began to suffer from a fungal infection suspected to be cutaneous necrotizing mucormycosis. Doctors scrambled to do what they could, but testing to identify the specific causal fungus lagged, treatment (including surgery and medications) was sometimes ineffective, and five people died.2 A team of U.S. researchers who investigated the outbreak now report what they say is the largest known cluster of the disease, with 13 identified patients.2,3
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