Gastric Perforation due to Mucormycosis in a Patient with Diabetic Ketoacidosis and Chronic Pancreatitis.
- Author:
Il Gon KIM
1
;
Kyong Hwa JUN
;
Yong Sung WON
;
Hyeon Min CHO
;
Ji Han JUNG
;
Hyun Jin KIM
;
Hyung Min CHIN
;
Woo Bae PARK
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Suwon, Korea. hchin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric mucormycosis;
Diabetic ketoacidosis;
Chronic pancreatitis
- MeSH:
Amphotericin B;
Burns;
Diabetic Ketoacidosis*;
Fungi;
Humans;
Immunocompromised Host;
Mucorales;
Mucormycosis*;
Neutropenia;
Pancreatitis, Chronic*;
Risk Factors
- From:Journal of the Korean Surgical Society
2006;70(1):70-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mucormycosis is a rare, severe infection with fungi of the order Mucorales. It is usually found in immunocompromised patients with diabetic ketoacidosis, glucocorticosteroid use, neutropenia in the setting of malignancy, and burns. Rhinocerebral disease is the most common form of mucormycosis. Other major symptoms are pulmonary, cutaneous, gastrointestinal, and systemic dissemination. Successful treatment requires removal of the underlying risk factor, antifungal therapy with amphotericin B, and aggressive surgery. We present a case of gastric perforation due to mucormycosis with diabetic ketoacidosis and chronic pancreatitis, with a review of the literature.