Disseminated intestinal basidiobolomycosis with mycotic aneurysm mimicking obstructing colon cancer

BMJ Case Reports - Tập 12 Số 1 - Trang e225054 - 2019
Arwa Omar Takrouni1, Mohammad Heitham Schammut2, Mishal Al-Otaibi2, Manal Al-Mulla2, A Privitera2
1dr.arwa207{at}gmail.com
2Department of General Surgery, Ministry of Health, Dammam, Eastern Province, Saudi Arabia

Tóm tắt

Basidiobolomycosis is a rare fungal infection that may affect the gastrointestinal tract. It is caused byBasidiobolus ranarumand less than 80 cases have been reported in the literature. The incidence seems to be higher in the Middle East and in particular Saudi Arabia where most cases are diagnosed in the south-western region. An 18-year-old woman presented to the emergency department with an obstructing caecal mass initially suspected to be malignant. Surgical resection was complicated by bowel perforation, histology and cultures confirmed basidiobolomycosis infection. The postoperative course was complicated by an enterocutaneous fistula, fungal intra-abdominal abscesses, liver and lung abscesses, formation of mycotic hepatic artery aneurysm and meningoencephalitis. The patient eventually expired due to sepsis despite aggressive treatment. Diagnosis and management of such rare cases are very challenging and require a multidisciplinary approach. Complications are common and associated with a high mortality.

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Tài liệu tham khảo

10.1128/JCM.39.6.2360-2363.2001

Mohta, 2011, Gastrointestinal mucormycosis in an infant, Indian J Pathol Microbiol, 54, 664, 10.4103/0377-4929.85149

Mantadakis, 2009, Clinical presentation of zygomycosis, Clin Microbiol Infect, 15 Suppl 5, 15, 10.1111/j.1469-0691.2009.02974.x

10.1093/cid/cis250

Nemenqani, 2009, Gastrointestinal basidiobolomycosis: an unusual fungal infection mimicking colon cancer, Arch Pathol Lab Med, 133, 1938, 10.5858/133.12.1938

Rabie, 2011, Basidiobolomycosis of the colon masquerading as stenotic colon cancer, Case Rep Surg, 2011, 1

10.1016/j.crohns.2011.10.008

10.1001/archderm.1956.01550100046008

Geramizadeh, 2015, Gastrointestinal basidiobolomycosis, a rare and under-diagnosed fungal infection in immunocompetent hosts: a review article, Iran J Med Sci, 40, 90

Al-Naemi, 2015, A case report of gastrointestinal basidiobolomycosis treated with voriconazole: a rare emerging entity, Medicine, 94, 10.1097/MD.0000000000001430

10.1186/s13104-014-0962-2

10.1007/s00261-014-0212-z

Alahmadi, 2014, The experience of a tertiary care hospital in the western region of Saudi Arabia and a report of four new cases, Life Science Journal, 11, 344

Mathurvaishya, 2017, basidiobolomycosis - a rare and underdiagnosed fungal infection mimicking eosinophilic colitis, JCDR, 11, 13

Sundararajan, 2004, Cutaneous zygomycosis due to Rhizopus oryzae in a patient with acute lymphoblastic leukemia, Mycoses, 47, 521, 10.1111/j.1439-0507.2004.01051.x

10.1111/j.1399-3062.2008.00324.x

10.1099/jmm.0.46993-0

10.1046/j.1365-2567.1999.00876.x

10.1016/S0065-2776(08)60866-4

10.3852/10-271

10.1128/JCM.42.3.1367-1369.2004

Chaudhari, 2013, Hepatic artery mycotic aneurysm associated with staphylococcal endocarditis with successful treatment: case report with review of the literature, Case Reports Hepatol, 2013, 1, 10.1155/2013/610818

Gi Ae, 2012, Case of ruptured mycotic hepatic artery aneurysm successfully treated using arterial embolization yeungnam university, J of Med, 29, 24

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BMJ Case Reports

Tập 12 Số 1

e225054

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