Ileal Mucormycosis Diagnosed by Colonoscopy in a Patient with Acute Myeloid Leukemia.
- Author:
Jae Yong HAN
1
;
Jae Hee CHEON
;
Duk Hwan KIM
;
Hong Jae CHON
;
Sang Kyum KIM
;
Tae Il KIM
;
Yoo Hong MIN
;
Won Ho KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. geniushee@yuhs.ac
- Publication Type:Case Report ; English Abstract
- Keywords:
Mucormycosis;
Colonoscopy;
Leukemia, Myeloid, Acute
- MeSH:
Amphotericin B/therapeutic use;
Antifungal Agents/therapeutic use;
Colonoscopy;
Humans;
Ileal Diseases/*diagnosis/microbiology/therapy;
Ileum/pathology;
Immunocompromised Host;
Leukemia, Myeloid, Acute/*complications/drug therapy;
Male;
Mucormycosis/*diagnosis/etiology/therapy;
Tomography, X-Ray Computed;
Young Adult
- From:The Korean Journal of Gastroenterology
2008;52(3):179-182
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastrointestinal mucormycosis is an uncommon opportunistic fungal infection often presents in immunocompromised patients. Direct invasion of the intestinal walls by spores from ingested food is the main pathogenetic mechanism of this disease, which usually takes place in stomach and colon. Early diagnosis is critical, especially in vascular invasive types, due to its high mortality rate close to 100%. In the past when appropriate diagnostic tools were not available, mucormycosis were frequently found with autopsy. The advance in current endoscopic technology has increased diagnostic rate and made successful management available with appropriate treatments such as debridement of contaminated tissues. In this case report, we discussed a case of ileal mucormycosis diagnosed by colonoscopy and treated with anti-fungal agent successfully.
