Gastrointestinal zygomycosis caused by Mucor indicus in a patient with acute traumatic brain injury.
We report a gastrointestinal infection caused by Mucor indicus in a patient with severe head injuries. Monotherapy with high-dose liposomal amphotericin B successfully eradicated the mucormycosis. Nevertheless, subsequently a hemicolectomy was necessary due to recurrent bleeding from a deep ulcer. Mucor indicus is an uncommon fungal pathogen, typically found in starters used for food fermentation. Reviewing other reports on Mucor indicus infections, primary gastrointestinal manifestations seem to be typical and indicate an oral route of infection.
Deja
Maria
M
Department of Anesthesiology and Intensive Care Medicine, Charité, Campus Virchow-Klinikum, Universitätsmedizin, Berlin, Germany.
Wolf
Steffen
S
Weber-Carstens
Steffen
S
Lehmann
Thomas-Nicolas
TN
Adler
Andreas
A
Ruhnke
Markus
M
Tintelnot
Kathrin
K
D000935:Antifungal Agents / Q000627:therapeutic use; D001930:Brain Injuries / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009089:Mucor / Q000302:isolation & purification*; D020096:Zygomycosis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology* / Q000473:pathology
D000935:Antifungal Agents