Open AccessMucormycosis of Pouch of Douglas in a diabetic woman
Author(s) -
Palash Mondal,
Santosh Kumar Mondal,
Tanmoy Kumar Mondal,
Puranjay Saha
Publication year - 2012
Publication title -
journal of global infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.437
H-Index - 25
eISSN - 0974-8245
pISSN - 0974-777X
DOI - 10.4103/0974-777x.100577
Subject(s) - mucormycosis , medicine , pouch , surgery , rhizopus arrhizus , vagina , rhizopus oryzae , ingestion , hysterectomy , biology , biochemistry , food science , fermentation , lipase , enzyme
Mucormycosis is a severe fungal infection which is rare in clinical practice. This infection is usually acquired by inhalation; other portals of entry are ingestion and traumatic implantation, especially in immuno-compromised patients. Here, we present a case of mucormycosis in a 44-year-old diabetic woman. The patient had collection of fluid in the Pouch of Douglas (POD) and history of bleeding per vagina. Hysterectomy was done which showed a blackish serosal surface of the posterior uterus. Subsequent investigations revealed mycormycosis caused by Rhizopus oryzae (R. arrhizus) affecting the POD. Patient was treated with liposomal amphotericin B and is now keeping well.