A Case of Gastric Mucormycosis Induced Necrotic Gastric Ulcer in Patients with Diabetic Ketoacidosis.
10.7704/kjhugr.2016.16.4.230
- Author:
Jun Ho KIM
1
;
Hyun Jeong LEE
;
Ju Hee HA
;
Chul Byung CHAE
;
Dong Wook LEE
;
Ho Joon PARK
;
Jae Joon LEE
;
Ki Beom PARK
Author Information
1. Department of Internal Medicine, Busan Medical Center, Busan, Korea. imnotu-imi@hanmail.net
- Publication Type:Case Report
- Keywords:
Mucormycosis;
Diabetic ketoacidosis
- MeSH:
Antifungal Agents;
Debridement;
Diabetes Mellitus;
Diabetic Ketoacidosis*;
Early Diagnosis;
Fungi;
Humans;
Middle Aged;
Mortality;
Mucorales;
Mucormycosis*;
Stomach;
Stomach Ulcer*;
Survival Rate
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2016;16(4):230-234
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mucormycosis is a rare invasive disease with high mortality rates caused by fungi of the zygomycetes class and Mucorales order. Mucormycosis is manifested by a variety of clinical presentations according to the involved site and occurs in immunocompromised conditions such as diabetes mellitus and other conditions. Rhino-orbital-cerebral and pulmonary infection is known as commonly involved areas. Primary gastrointestinal mucormycosis is a very rare and life-threatening invasive fungal infection. Gastrointestinal mucormycosis may occur in any alimentary tract, with the stomach being most involved part. The early diagnosis and appropriate treatment including surgical debridement of involved tissues and antifungal agents is needed to improve survival rates. We report a case of gastric mucormycosis successfully treated with radical debridement and antifungal agents in a 45-year-old man with diabetic ketoacidosis.
