Year 2020 / Volume 112 / Number 7
Letter
Gastric ulcer due to mucormycosis in a critical patient

576-577

DOI: 10.17235/reed.2020.6636/2019

Alejandro Pérez Fernández, José María Rubio Mateos, María Josefa Sánchez Fernández,

Abstract
We have read the article published by Sánchez-Velázquez P et al., which described a clinical case of gastrointestinal hemorrhage secondary to gastric ulcer due to Mucor. We present a similar clinical case, as an example of one identified by gastroscopy. The case was a 71-year-old female with multiple organ failure secondary to nosocomial pneumonia who required mechanical ventilation, vasoactive drugs, corticosteroids, antibiotherapy and continuous venovenous hemofiltration. Her room was adjacent to a building under construction. The patient had severe upper gastrointestinal bleeding and therefore, an urgent upper gastrointestinal endoscopy was performed. A small amount of blood was identified, as well as a large ulcer without a white base extending from the fundus to the antrum region of the stomach, with bleeding due to rubbing and nodular edges that suggested degeneration.
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References
1. Sánchez-Velázquez P, Pera M, Gimeno et al. Mucormycosis: an unusual cause of gastric perforation and severe bleeding in immunocompetent patients. Rev Esp Enferm Dig 2017; 109(3): 223-5.
2. Madrigal B, Arenal JJ, Torres A et al. Mucormicosis yeyunal en paciente con linfoma de Hodgkin. Rev Esp Enferm Dig 2008; 109(3): 223-5.
3. Rammaert B, Lanternier F, Zahar JR et al. Healthcare-associated mucormycosis. Clin Infect Dis 2012; 54 (Suppl 1): S44-54. doi: 10.1093/cid/cir867.
4. Termos S, Othman F, Alali M et al. Total Gastric Necrosis Due to Mucormycosis: A Rare Case of Gastric Perforation. Am J Case Rep 2018; 19: 527-33. doi: 10.12659/AJCR.908952.
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Pérez Fernández A, Rubio Mateos J, Sánchez Fernández M. Gastric ulcer due to mucormycosis in a critical patient. 6636/2019


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Publication history

Received: 19/09/2019

Accepted: 26/09/2019

Online First: 24/06/2020

Published: 08/07/2020

Article Online First time: 279 days

Article editing time: 293 days


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