Gastrointestinal mucormycosis mimicking ischemic colitis in a patient with systemic lupus erythematosus.
This report describes the case of a 42-yr-old woman with systemic lupus erythematosus who presented with septic shock. Initially, a source of infection could not be found and the patient was started on stress dose corticosteroids and antibiotics. A CAT scan revealed thickened colon and endoscopy revealed possible ischemic colitis. She soon developed peritonitis, and was taken to surgery where gastrointestinal mucormycosis was found. The patient died despite amphotericin therapy.
Department of Gastroenterology, University of California at Davis Medical Center, Sacramento 95817, USA.
M
M
Hosseini
J
J
Lee
D000328:Adult; D017091:Colitis, Ischemic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D009091:Mucormycosis / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery