Open AccessIntestinal mucormycosis in an adult with H1N1 pneumonia on extracorporeal membrane oxygenation
Author(s) -
Geeta Dev,
Pradeep M Venkategowda,
Anand Sutar,
Venkat Shankar
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_1_20
Subject(s) - medicine , mucormycosis , ards , extracorporeal membrane oxygenation , pneumonia , ileostomy , surgery , bowel infarction , perforation , acute respiratory distress , short bowel syndrome , lung , parenteral nutrition , materials science , punching , metallurgy
Gastrointestinal mucormycosis involving ileum is a very rare phenomenon. We present a case of 52-year-old male, known case of diabetes mellitus requiring extracorporeal membrane oxygenation (ECMO) for H1N1 pneumonia with severe acute respiratory distress syndrome (ARDS). The patient had small bowel obstruction with impending perforation requiring emergency bowel resection and ileostomy. The resected bowel segment histopathology showed mucormycosis. He was treated with conventional Amphotericin-B and later changed to Posaconazole. The patient responded very well and was gradually weaned from ventilator and successfully discharged home. This case report highlights rare site of mucormycosis. Early diagnosis and timely intervention can reduce mortality.