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Post-COVID-19 Intestinal and Mesenteric Mucormycosis
Niladri Banerjee1, Mahendra Lodha1, Prathyusha Kompally1
1Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, India.
The American Surgeon
|November 3, 2021
Summary
A post-COVID-19 patient with uncontrolled diabetes developed severe intestinal mucormycosis. This rare opportunistic infection highlights the risks associated with weakened immunity following COVID-19 and diabetes management.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Critical Care Medicine
Background:
- Mucormycosis is a rare, life-threatening fungal infection.
- Gastrointestinal mucormycosis is particularly uncommon.
- Recent COVID-19 infection can lead to immunosuppression.
Purpose of the Study:
- To report an unusual case of extensive gastrointestinal mucormycosis.
- To investigate the potential link between COVID-19 and mucormycosis.
- To highlight risk factors for opportunistic infections post-COVID-19.
Main Methods:
- Case report of a 38-year-old male patient.
- Microscopic diagnosis of intestinal and mesenteric mucormycosis.
- Review of patient's medical history including uncontrolled diabetes and recent COVID-19 infection.
Main Results:
- The patient presented with extensive bowel ischemia and gangrene.
- Microscopic examination confirmed mucormycosis affecting the intestine and mesentery.
- The infection occurred in the context of uncontrolled diabetes and recent COVID-19.
Conclusions:
- Uncontrolled diabetes and COVID-19-induced immunosuppression are likely contributors to mucormycosis.
- Gastrointestinal mucormycosis is a rare but severe complication in immunocompromised patients.
- This case underscores the importance of monitoring for opportunistic infections post-COVID-19, especially in diabetic patients.
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