Medicine · 2017
Gastrointestinal Mucormycosis of the Jejunum in an Immunocompetent Patient: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Sun Mengqing, Hou Xianming, Wang Xiaoting, Chen Ge, Zhao Yupei
Аннотация
RATIONALE: Gastrointestinal Mucormycosis (GIM) is a kind of opportunistic fungal infection with poor prognosis. It usually occurs in patients with immune deficiency. We reported a case of immunocompetent male patient.
PATIENT CONCERNS: This patient was presented as abdominal distension and gastrointestinal bleeding.
DIAGNOSES: A variety of hemostatic methods was ineffective to stop the bleeding. The patient finally received laparotomy, and the jejunum lesions were found.
INTERVENTIONS: Pathological examination confirmed it to be gastrointestinal mucormycosis in jejunum.
OUTCOMES: However, after systemic anti-fungi therapy, the patient died of septic shock.
LESSONS: The diagnosis mainly relies on pathological examination. Early diagnosis and early application of systemic amphotericin B liposome were fundamental for improving the prognosis.
PATIENT CONCERNS: This patient was presented as abdominal distension and gastrointestinal bleeding.
DIAGNOSES: A variety of hemostatic methods was ineffective to stop the bleeding. The patient finally received laparotomy, and the jejunum lesions were found.
INTERVENTIONS: Pathological examination confirmed it to be gastrointestinal mucormycosis in jejunum.
OUTCOMES: However, after systemic anti-fungi therapy, the patient died of septic shock.
LESSONS: The diagnosis mainly relies on pathological examination. Early diagnosis and early application of systemic amphotericin B liposome were fundamental for improving the prognosis.