Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report

Medicine (Baltimore). 2017 Apr;96(16):e6360. doi: 10.1097/MD.0000000000006360.

Abstract

Rationale: Gastrointestinal Mucormycosis (GIM) is a kind of opportunistic fungal infection with poor prognosis. It usually occurs in patients with immune deficiency. We reported a case of immunocompetent male patient.

Patient concerns: This patient was presented as abdominal distension and gastrointestinal bleeding.

Diagnoses: A variety of hemostatic methods was ineffective to stop the bleeding. The patient finally received laparotomy, and the jejunum lesions were found.

Interventions: Pathological examination confirmed it to be gastrointestinal mucormycosis in jejunum.

Outcomes: However, after systemic anti-fungi therapy, the patient died of septic shock.

Lessons: The diagnosis mainly relies on pathological examination. Early diagnosis and early application of systemic amphotericin B liposome were fundamental for improving the prognosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Diagnosis, Differential
  • Fatal Outcome
  • Humans
  • Jejunal Diseases / complications
  • Jejunal Diseases / diagnosis*
  • Jejunal Diseases / pathology
  • Jejunal Diseases / therapy
  • Jejunum / pathology
  • Laparotomy
  • Male
  • Mucormycosis / complications
  • Mucormycosis / diagnosis*
  • Mucormycosis / pathology
  • Mucormycosis / therapy
  • Shock, Septic / etiology