International Medical Case Reports Journal (Oct 2020)
Successful Management of a Rare Gastric Mucormycosis Presenting with Massive Melena in a Polytrauma Patient
Abstract
Hanna Jung, Gun Jik Kim, Tak-hyuk Oh Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Republic of KoreaCorrespondence: Tak-hyuk OhDepartment of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Kyungpook National University School of Medicine, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Republic of KoreaTel +82-53-200-5665Fax +82-53-426-4765Email [email protected]: Mucormycosis is a rare, life-threatening, and opportunistic fungal infection that usually occurs in immunocompromised patients. Rhinocerebral and pulmonary manifestations are the common form. The rare form of gastrointestinal mucormycosis occur in all parts of the alimentary tract, with emphasis on the stomach being the most common site. Primary gastric mucormycosis following traumatic injury is an extremely rare form that is usually lethal; thus, only a few cases of survival have been reported even after early diagnosis and aggressive surgical resection, combined with antifungal treatment. We herein report a case of delayed-onset gastric mucormycosis in a polytrauma patient without predisposing factors, which was successfully treated by antifungal medical therapy alone with no surgical debridement.Keywords: antifungal antibiotics, fungal infection, melena, mucormycosis, multiple trauma
