Year 2017 / Volume 109 / Number 3
Case Report
Mucormycosis: an unusual cause of gastric perforation and severe bleeding in immunocompetent patients

223-225

DOI: 10.17235/reed.2016.4269/2016

Patricia Sánchez Velázquez, Manuel Pera, Javier Gimeno, Ana Zapatero, Joan Nolla, Miguel Pera,

Abstract
Mucormycosis is a rare and often fatal opportunistic infection that especially occurs in immunocompromised patients. Primary gastrointestinal infection is uncommon and accounts for only approximately 7% of all cases of mucormycosis but it is associated with an 85% mortality rate due to perforation and massive bleeding. Very few cases of gastrointestinal mucormycosis in an immunocompetent host have been reported. We describe a case of gastric necrosis and massive bleeding due to fulminant invasive mucormycosis.
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References
1. Kontoyiannis DP, Lewis RE. Invasive zygomycosis: update on pathogenesis, clinical manifestations, and management. Infect Dis Clin North Am. 2006;20:581–607.
2. Roden M, Zaoutis T. Epidemiology and outcome of zygomycosis: a review of 929 reported cases. Clin Infect Dis. 2005;41:634-53.
3. Kaiser P, Maggio EM, Pfammatter T, et al. Histopathological evidence of invasive gastric mucormycosis after transarterial chemoembolization and liver transplantation. Infection. 2014;42:779-83
4. Corey KE, Gupta NK, Agarwal S, et al. Case records of the Massachusetts General Hospital. Case 32-2013. A 55-year-old woman with autoimmune hepatitis, cirrhosis, anorexia, and abdominal pain. N Engl J Med. 2013;369:1545–53.
5. Irtan S, Lamerain M, Lesage F, et al. Mucormycosis as a rare cause of severe gastrointestinal bleeding after multivisceral transplantation. Transpl Infect Dis. 2013;15:E236–8.
6. Choi HL, Shin YM, Lee KM, et al. Bowel infarction due to intestinal mucormycosis in an immunocompetent patient. J Korean Surg Soc. 2012;83:325–9.
7. Berne JD, Villarreal DH, McGovern TM, et al. A fatal case of posttraumatic gastric mucormycosis. J Trauma. 2009;66:933–5.
8. Johnson CB, Ahmeti M, Tyroch AH, et al. Gastric mucormycosis as a cause of life-threatening upper gastrointestinal bleeding in a trauma patient. Am Surg. 2010;76:E76–7.
9. Chhaya V, Gupta S, Arnaout A. Mucormycosis causing giant gastric ulcers. Endoscopy. 2011;43:289–90.
10. Maraví-Poma E, Rodríguez-Tudela JL, de Jalón JG, et al. Outbreak of gastric mucormycosis associated with the use of wooden tongue depressors in critically ill patients. Intensive Care Med. 2004;30:724–8.
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Sánchez Velázquez P, Pera M, Gimeno J, Zapatero A, Nolla J, Pera M, et all. Mucormycosis: an unusual cause of gastric perforation and severe bleeding in immunocompetent patients. 4269/2016


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Publication history

Received: 14/02/2016

Accepted: 05/04/2016

Online First: 18/04/2016

Published: 28/02/2017

Article revision time: 50 days

Article Online First time: 64 days

Article editing time: 380 days


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