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Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report

RATIONALE: Gastrointestinal Mucormycosis (GIM) is a kind of opportunistic fungal infection with poor prognosis. It usually occurs in patients with immune deficiency. We reported a case of immunocompetent male patient. PATIENT CONCERNS: This patient was presented as abdominal distension and gastroint...

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Detalles Bibliográficos
Autores principales: Sun, Mengqing, Hou, Xianming, Wang, Xiaoting, Chen, Ge, Zhao, Yupei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5406044/
https://www.ncbi.nlm.nih.gov/pubmed/28422828
http://dx.doi.org/10.1097/MD.0000000000006360
Descripción
Sumario:RATIONALE: Gastrointestinal Mucormycosis (GIM) is a kind of opportunistic fungal infection with poor prognosis. It usually occurs in patients with immune deficiency. We reported a case of immunocompetent male patient. PATIENT CONCERNS: This patient was presented as abdominal distension and gastrointestinal bleeding. DIAGNOSES: A variety of hemostatic methods was ineffective to stop the bleeding. The patient finally received laparotomy, and the jejunum lesions were found. INTERVENTIONS: Pathological examination confirmed it to be gastrointestinal mucormycosis in jejunum. OUTCOMES: However, after systemic anti-fungi therapy, the patient died of septic shock. LESSONS: The diagnosis mainly relies on pathological examination. Early diagnosis and early application of systemic amphotericin B liposome were fundamental for improving the prognosis.