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A rare cause of ischemic gut: A case report
INTRODUCTION: Mucormycosis is a fungal infection that is a rare cause of gastrointestinal ischemia, usually found in the immunocompromised or patients with extended surgical intensive care unit stay. This case report brings to light the rare presentation of a total gastric infarction secondary to a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818320/ https://www.ncbi.nlm.nih.gov/pubmed/26852360 http://dx.doi.org/10.1016/j.ijscr.2016.01.018 |
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author | Lee, Zhen Jin Chia, Claramae Busmani, Inese Wong, Wai Keong |
author_facet | Lee, Zhen Jin Chia, Claramae Busmani, Inese Wong, Wai Keong |
author_sort | Lee, Zhen Jin |
collection | PubMed |
description | INTRODUCTION: Mucormycosis is a fungal infection that is a rare cause of gastrointestinal ischemia, usually found in the immunocompromised or patients with extended surgical intensive care unit stay. This case report brings to light the rare presentation of a total gastric infarction secondary to a rare fungal infection where the overall outcome of the patient depends on timely diagnosis and management. CASE PRESENTATION: An elderly Malay female patient in our institution developed severe sepsis. Radiological investigations revealed an intra abdominal source of sepsis likely secondary to total gastric ischemia. Both the abdominal X-ray and computed tomography scan showed evidence of gastric pneumotosis. She was diagnosed with gastric ischemia and underwent a total gastrectomy. However post surgically she continued to deteriorate and passed away 5 days later. CONCLUSION: Recognition of mucormycosis infection is pertinent to commence anti fungal treatment early with timely implementation of subsequent surgical management. Early access to surgery is necessary to improve cure rates in patients with mucormycosis as antifungal treatment alone is usually not adequate for cure. |
format | Online Article Text |
id | pubmed-4818320 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-48183202016-04-14 A rare cause of ischemic gut: A case report Lee, Zhen Jin Chia, Claramae Busmani, Inese Wong, Wai Keong Int J Surg Case Rep Case Report INTRODUCTION: Mucormycosis is a fungal infection that is a rare cause of gastrointestinal ischemia, usually found in the immunocompromised or patients with extended surgical intensive care unit stay. This case report brings to light the rare presentation of a total gastric infarction secondary to a rare fungal infection where the overall outcome of the patient depends on timely diagnosis and management. CASE PRESENTATION: An elderly Malay female patient in our institution developed severe sepsis. Radiological investigations revealed an intra abdominal source of sepsis likely secondary to total gastric ischemia. Both the abdominal X-ray and computed tomography scan showed evidence of gastric pneumotosis. She was diagnosed with gastric ischemia and underwent a total gastrectomy. However post surgically she continued to deteriorate and passed away 5 days later. CONCLUSION: Recognition of mucormycosis infection is pertinent to commence anti fungal treatment early with timely implementation of subsequent surgical management. Early access to surgery is necessary to improve cure rates in patients with mucormycosis as antifungal treatment alone is usually not adequate for cure. Elsevier 2016-01-22 /pmc/articles/PMC4818320/ /pubmed/26852360 http://dx.doi.org/10.1016/j.ijscr.2016.01.018 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Lee, Zhen Jin Chia, Claramae Busmani, Inese Wong, Wai Keong A rare cause of ischemic gut: A case report |
title | A rare cause of ischemic gut: A case report |
title_full | A rare cause of ischemic gut: A case report |
title_fullStr | A rare cause of ischemic gut: A case report |
title_full_unstemmed | A rare cause of ischemic gut: A case report |
title_short | A rare cause of ischemic gut: A case report |
title_sort | rare cause of ischemic gut: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818320/ https://www.ncbi.nlm.nih.gov/pubmed/26852360 http://dx.doi.org/10.1016/j.ijscr.2016.01.018 |
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