Open AccessGastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient
Author(s) -
Mingshu Sun,
Xianming Hou,
Xiaoting Wang,
Ge Chen,
Yuanhui Zhao
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000006360
Subject(s) - medicine , mucormycosis , jejunum , laparotomy , septic shock , pathological , gastrointestinal bleeding , sepsis , abdominal distension , medical diagnosis , surgery , gastroenterology , intensive care medicine , radiology
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.