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Elderly diabetic patient with surgical site mucormycosis extending to bowel
Atul K Patel1, Himanshu J Vora, Ketan K Patel
1Infectious Diseases Clinic, "Vedanta" Institute of Medical Sciences, Ahmedabad, India.
Abstract:
Mucormycosis is rare in clinical practice. Most infections are acquired by inhalation; other portals of entry are traumatic implantation and ingestion in immunocompromised host. Mucormycosis is life threatening infection in immunocompromised host with variable moratlity ranging from 15-81% depending upon site of infection. General treatment principles include early diagnosis, correction of underlying immunosuppression and metabolic disturbances, adequate surgical debridement along with amphotericin therapy. We describe surgical site mucormycosis extended to involve large bowel in elderly diabetic patient.
Insights
Mucormycosis, a rare but life-threatening fungal infection, can occur in immunocompromised individuals. This case highlights surgical site mucormycosis spreading to the large bowel in an elderly diabetic patient.
Area of Science:
- Mycology
- Infectious Diseases
- Surgery
Background:
- Mucormycosis is a rare, invasive fungal infection.
- It primarily affects immunocompromised hosts, with high mortality rates (15-81%).
- Infections can arise from inhalation, traumatic implantation, or ingestion.
Purpose of the Study:
- To report a rare case of surgical site mucormycosis.
- To describe the extension of infection to the large bowel.
- To emphasize the importance of early diagnosis and management in a specific patient demographic.
Main Methods:
- Case report of an elderly diabetic patient.
- Description of clinical presentation and diagnostic findings.
- Documentation of surgical and medical management.
Main Results:
- The patient presented with surgical site mucormycosis.
- The infection extended to involve the large bowel.
- Successful management involved surgical debridement and antifungal therapy.
Conclusions:
- Surgical site mucormycosis is a severe complication.
- Prompt diagnosis, surgical intervention, and antifungal treatment are crucial.
- Elderly diabetic patients are at risk for invasive fungal infections.
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