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Gastric Mucormycosis in a Critically Ill Patient Who Survived Without Surgery: A Case Report
Andrej M Sodoma1, Atieh D Ashkezari2, James R Pellegrini3
1Internal Medicine, South Shore University Hospital, Bay Shore, USA.
Abstract:
Gastrointestinal mucormycosis is an extremely rare but highly fatal manifestation of invasive fungal infections. We report a case of a 57-year-old man with preexisting type 2 diabetes mellitus who was admitted for diabetic ketoacidosis and acute hypoxic respiratory failure with a stay in the intensive care unit. The patient was found to be anemic. On further workup, he was found to have gastric mucormycosis. Despite the very high mortality rate, the patient showed remarkable improvement with antifungal therapy and supportive care. No surgery was performed as the patient refused surgical intervention. This rare case points to the need for high suspicion, timely biopsy, and quick intervention to have favorable outcomes.
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