Year 2024 / Volume 116 / Number 10
Letter
Intestinal mucormycosis as a differential diagnosis of small bowel ischemia

563-564

DOI: 10.17235/reed.2024.10630/2024

Irene López-Rojo, Esther Martin Illana, Laura Castella Bataller, Santiago González-Moreno, Óscar Alonso-Casado, Sara Núñez O'Sullivan, Raquel Oña Navarrete, Gloria Ortega-Pérez,

Abstract
Intestinal mucormycosis is a rare manifestation of the Mucor fungus, associated with high mortality and typically found in immunocompromised patients, though it has also been described in immunocompetent individuals. The mode of acquisition is digestive. It usually presents as abdominal pain, with ischemia and intestinal perforation, and the diagnosis is often histopathological after surgical resection. We present the case of a 54-year-old female patient with recurrent acute myeloid leukemia undergoing treatment with daunorubicin-cytarabine and experiencing febrile neutropenia. She developed patchy and progressive intestinal ischemia that evolved into intestinal necrosis, which was treated with antifungal medications and surgery. Examination of the surgical specimen revealed aseptate wide hyphae with branching at right angles, suggestive of Mucor fungus. This is a rare but highly mortal pathology in which clinical, radiological, and surgical suspicion is essential for early diagnosis and treatment, thus improving the patient's prognosis.
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References
1. Zhong B, Amundsen T, Farmer C. Invasive Gastrointestinal Mucormycosis. ACG Case Rep J. 2023;10(9):e01161. doi: 10.14309/crj.0000000000001161
2. Martinello M, Nelson A, Bignold L, Shaw D. "We are what we eat!" Invasive intestinal mucormycosis: A case report and review of the literature. Med Mycol Case Rep. 2012;1(1):52-5. doi: 10.1016/j.mmcr.2012.07.003
3. Lo OS, Law WL. Ileocolonic mucormycosis in adult immunocompromised patients: a surgeon's perspective. World J Gastroenterol. 2010;16(9):1165-70. doi: 10.3748/wjg.v16.i9.1165
4. Clemente-Gutiérrez U, Perez-Soto RH, Álvarez-Bautista FE, Domínguez-Rosado I, Cuellar-Mendoza M. Gastrointestinal mucormycosis: An atypical cause of abdominal pain in an immunocompromised patient. Rev Gastroenterol Mex. 2019;84(3):409-411. doi: 10.1016/j.rgmx.2018.06.003
5. Wang C, Yang Q, Liu N, Huang R, Fang M, Shao M. Emphysematous gastritis associated with mucormycosis in a patient with fulminant myocarditis requiring veno-arterial extracorporeal membrane oxygenation. Rev Esp Enferm Dig. 2022;114(4):236-237 doi: 10.17235/reed.2021.8477/2021
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López-Rojo I, Martin Illana E, Castella Bataller L, González-Moreno S, Alonso-Casado Ó, Núñez O'Sullivan S, et all. Intestinal mucormycosis as a differential diagnosis of small bowel ischemia. 10630/2024


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Publication history

Received: 03/07/2024

Accepted: 11/07/2024

Online First: 01/08/2024

Published: 09/10/2024

Article Online First time: 29 days

Article editing time: 98 days


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