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A Neonatal Mouse Model of Necrotizing Enterocolitis and Lamina Propria Isolation for Immune Cell Profiling
Published on: September 19, 2025
Unsuspected intestinal mucormycosis in a neonate presenting as necrotizing enterocolitis (NEC)
K K Dhingra1, S Mandal, N Khurana
1Department of Pathology, Maulana Azad Medical College, New Delhi, India. kajaldhingra@yahoo.com
Abstract:
Mucormycosis of the gut in neonates is rare, difficult to recognize and hence usually fatal. These cases are usually diagnosed initially as necrotizing enterocolitis (NEC), which leads to a delay in specific treatment. We present a case of neonatal gastrointestinal tract (GIT) mucormycosis in a 2-day-old infant diagnosed following laparotomy and resection for presumptive NEC, together with a review of cases of GIT mucormycosis in newborn babies in the literature.
Insights
Neonatal gastrointestinal mucormycosis is a rare, fatal condition often misdiagnosed as necrotizing enterocolitis (NEC). Early diagnosis and specific treatment are crucial for improving outcomes in affected newborns.
Area of Science:
- Medical Mycology
- Neonatology
- Pediatric Surgery
Background:
- Neonatal gastrointestinal tract (GIT) mucormycosis is a rare fungal infection.
- It is frequently misdiagnosed as necrotizing enterocolitis (NEC), delaying critical treatment.
- High mortality rates underscore the need for improved diagnostic strategies.
Observation:
- A case of a 2-day-old infant with confirmed GIT mucormycosis is presented.
- Diagnosis was established post-laparotomy and resection for presumed NEC.
- A literature review of similar neonatal cases was conducted.
Findings:
- Gastrointestinal mucormycosis in neonates presents diagnostic challenges.
- Delayed diagnosis due to NEC misdiagnosis significantly impacts patient outcomes.
- This condition requires specific antifungal therapy and surgical intervention.
Implications:
- Highlights the importance of considering mucormycosis in the differential diagnosis of neonatal NEC.
- Emphasizes the need for prompt recognition and targeted treatment to reduce mortality.
- Suggests further research into early diagnostic markers for neonatal GIT mucormycosis.
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