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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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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
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author Sun, Mengqing
Hou, Xianming
Wang, Xiaoting
Chen, Ge
Zhao, Yupei
author_facet Sun, Mengqing
Hou, Xianming
Wang, Xiaoting
Chen, Ge
Zhao, Yupei
author_sort Sun, Mengqing
collection PubMed
description 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.
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spelling pubmed-54060442017-04-28 Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report Sun, Mengqing Hou, Xianming Wang, Xiaoting Chen, Ge Zhao, Yupei Medicine (Baltimore) 7100 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. Wolters Kluwer Health 2017-04-21 /pmc/articles/PMC5406044/ /pubmed/28422828 http://dx.doi.org/10.1097/MD.0000000000006360 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 7100
Sun, Mengqing
Hou, Xianming
Wang, Xiaoting
Chen, Ge
Zhao, Yupei
Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report
title Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report
title_full Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report
title_fullStr Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report
title_full_unstemmed Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report
title_short Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report
title_sort gastrointestinal mucormycosis of the jejunum in an immunocompetent patient: a case report
topic 7100
url 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
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