Disseminated intestinal basidiobolomycosis with mycotic aneurysm mimicking obstructing colon cancer
| Autor: | Antonio Privitera, Mohammad Heitham Schammut, Arwa Omar Takrouni, Mishal Al-Otaibi, Manal Al-Mulla |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Enterocutaneous fistula
medicine.medical_specialty general surgery Adolescent Saudi Arabia Basidiobolus ranarum Sepsis Diagnosis Differential 03 medical and health sciences Liver disease 0302 clinical medicine Fatal Outcome Zygomycosis Rare Disease medicine Humans gastrointestinal surgery 030212 general & internal medicine infections Basidiobolomycosis Lung biology business.industry Meningoencephalitis General Medicine Mycotic aneurysm medicine.disease biology.organism_classification Surgery Entomophthorales Gastrointestinal Tract Intestines medicine.anatomical_structure Intestinal Perforation 030220 oncology & carcinogenesis Colonic Neoplasms gastrointestinal system Female business Tomography X-Ray Computed liver disease Aneurysm Infected Intestinal Obstruction |
| Zdroj: | BMJ Case Reports |
| ISSN: | 1757-790X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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