Masquerading fungal bowel mass in an adolescent: a clinicopathological challenge.

Autor: Sarngadharan C MAKV; General Surgery, NITTE KS Hegde Medical Academy, Mangaluru, Karnataka, India., DCunha AR; Pediatric Surgery, NITTE KS Hegde Medical Academy, Mangaluru, Karnataka, India aureen_d@yahoo.com., Rai SB; Pediatric Surgery, NITTE KS Hegde Medical Academy, Mangaluru, Karnataka, India., Prasad K; Pathology, NITTE Deemed to be University, Mangalore, Karnataka, India., Ail D; Pathology, NITTE Deemed to be University, Mangalore, Karnataka, India.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2024 Mar 11; Vol. 17 (3). Date of Electronic Publication: 2024 Mar 11.
DOI: 10.1136/bcr-2023-258081
Abstrakt: Abdominal masses clubbed with weight loss in the paediatric age group can raise hairs, especially since malignancy is a differential. We present the case of an early adolescent male who presented with abdominal pain and was found to have a mass mimicking a malignancy. The resected surgical specimen revealed entomophthoromycosis of the jejunum and he made a complete recovery following surgery and adjuvant itraconazole. The diagnosis of a fungal aetiology in these cases requires a high index of suspicion and background knowledge of the risk factors, disease occurrence and mode of presentation. Gastrointestinal entomophthoromycosis has an impressive potential for cure if promptly diagnosed and treated.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE