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.
Share Button
New comment
Comments
No comments for this article
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.
Related articles

Letter

A ghost epigastric pain

DOI: 10.17235/reed.2024.10500/2024

Letter

Mixed crawling-type gastric adenocarcinoma

DOI: 10.17235/reed.2024.10205/2023

Letter

Gastric bronchogenic cyst

DOI: 10.17235/reed.2023.9964/2023

Letter

Gastric schwannoma diagnosing gastric stromal tumor

DOI: 10.17235/reed.2023.9919/2023

Letter

Repeated endoscopic treatment of gastric antral vascular ectasia

DOI: 10.17235/reed.2023.9917/2023

Letter

Spontaneous cystogastric fistula: an accidental discovery

DOI: 10.17235/reed.2023.9912/2023

Letter

Gastric cardia bronchogenic cyst with prolonged belching

DOI: 10.17235/reed.2023.9865/2023

Letter

Gastric duplication cyst with peristalsis

DOI: 10.17235/reed.2023.9721/2023

Digestive Diseases Image

Gastric calcinosis ulcer in a renal transplanted patient

DOI: 10.17235/reed.2023.9495/2023

Letter

Recurrence of gastric schwannoma

DOI: 10.17235/reed.2023.9480/2023

Letter

An unexpected gastric cardia submucosal lesion

DOI: 10.17235/reed.2022.9260/2022

Digestive Diseases Image

Black esophagus

DOI: 10.17235/reed.2022.9217/2022

Letter

Primary gastric leiomyosarcoma presenting as a giant polyp

DOI: 10.17235/reed.2022.9165/2022

Digestive Diseases Image

An unusual finding in gastroesophageal surgery: gastric anthracosis

DOI: 10.17235/reed.2022.8882/2022

Letter

A rare gastrointestinal tumor: primary gastric melanoma

DOI: 10.17235/reed.2022.8715/2022

Letter

A large perforated gastric ulcer due to cocaine use

DOI: 10.17235/reed.2022.8676/2022

Letter

Gastric ulcer with liver penetration

DOI: 10.17235/reed.2022.8528/2021

Digestive Diseases Image

Crack cocaine abuse as an undescribed cause of gastric outlet obstruction

DOI: 10.17235/reed.2022.8438/2021

Letter

Endoscopic full-thickness resection of a gastric schwannoma

DOI: 10.17235/reed.2021.8385/2021

Digestive Diseases Image

Bezoar: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.8311/2021

Digestive Diseases Image

Ink stained gastric lesions: a rare cause of gastrointestinal bleeding

DOI: 10.17235/reed.2021.8141/2021

Digestive Diseases Image

Gastric ischemia: cross-sectional imaging findings via a case series

DOI: 10.17235/reed.2021.8142/2021

Digestive Diseases Image

Gastric plasmacytoma: a rare cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.7816/2021

Letter

Gastric caustic injury after organophosphate poisoning

DOI: 10.17235/reed.2020.7540/2020

Letter

Acute gastric dilatation in a patient with anorexia nervosa

DOI: 10.17235/reed.2020.7235/2020

Letter

Secondary gastric lymphoma - Do we know its endoscopic findings?

DOI: 10.17235/reed.2020.6868/2020

Digestive Diseases Image

Groove pancreatitis: a rare cause of severe gastric dilation

DOI: 10.17235/reed.2020.6765/2019

Letter

Gastric ulcer due to mucormycosis in a critical patient

DOI: 10.17235/reed.2020.6636/2019

Letter

Misplacement of a nasogastric feeding tube: a case report

DOI: 10.17235/reed.2020.6512/2019

Letter

Primary gastric choriocarcinoma

DOI: 10.17235/reed.2020.6478/2019

Digestive Diseases Image

An unusual endoscopic presentation of diffuse duodenal gastric heterotopia

DOI: 10.17235/reed.2020.6372/2019

Case Report

Emphysematous esophagitis with gastric perforation

DOI: 10.17235/reed.2019.6322/2019

Letter

Gastric serrated adenoma

DOI: 10.17235/reed.2019.6145/2018

Digestive Diseases Image

A rare heterotopic gastric mucosa appearing between the muscularis mucosae and submucosa

DOI: 10.17235/reed.2019.6134/2018

Letter

Primary squamous cell carcinoma of the stomach: a rare entity

DOI: 10.17235/reed.2018.5900/2018

Letter

An esophageal cyst containing heterotopic gastric glands

DOI: 10.17235/reed.2018.5530/2018

Letter to the Editor

Acute gastric dilatation after dietary violation

DOI: 10.17235/reed.2017.5111/2017

Original

Usefulness of an intra-gastric balloon before bariatric surgery

DOI: 10.17235/reed.2017.4624/2016

Letter to the Editor

Alopecia areata as a paraneoplastic syndrome of gastric cancer

DOI: 10.17235/reed.2016.4455/2016

Letter to the Editor

Acute transverse colon volvulus with secondary gastric isquemia. Case report

DOI: 10.17235/reed.2016.4024/2015

Letter to the Editor

Gastric neuroendocrine tumor presenting with gastrointestinal bleeding

DOI: 10.17235/reed.2015.3998/2015

Letter to the Editor

Endoscopic submucosal dissection for a gastric fibrolipoma

DOI: 10.17235/reed.2015.3982/2015

Letter to the Editor

Acute gastric dilatation in the context of bulimia nervosa

DOI: 10.17235/reed.2015.3673/2015

Letter to the Editor

Synchronic gastric and pancreatic ductal adenocarcinoma. A case report

DOI: 10.17235/reed.2015.3720/2014

Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 892 visits.
This article has been downloaded 90 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology