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Case Reports
Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report.
- Mengqing Sun, Xianming Hou, Xiaoting Wang, Ge Chen, and Yupei Zhao.
- aDepartment of Surgery bDepartment of General Surgery cDepartment of Intensive Care Unit, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
- Medicine (Baltimore). 2017 Apr 1; 96 (16): e6360.
RationaleGastrointestinal 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 ConcernsThis patient was presented as abdominal distension and gastrointestinal bleeding.DiagnosesA variety of hemostatic methods was ineffective to stop the bleeding. The patient finally received laparotomy, and the jejunum lesions were found.InterventionsPathological examination confirmed it to be gastrointestinal mucormycosis in jejunum.OutcomesHowever, after systemic anti-fungi therapy, the patient died of septic shock.LessonsThe diagnosis mainly relies on pathological examination. Early diagnosis and early application of systemic amphotericin B liposome were fundamental for improving the prognosis.
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