title: Gastrointestinal zygomycosis caused by Mucor indicus in a patient with acute traumatic brain injury.
abstract: 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.
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, Charité, Campus Virchow-Klinikum, Universitätsmedizin, Berlin, Germany.
authors.forename: Maria
authors.initials: M
authors.lastname: Deja
authors.forename: Steffen
authors.initials: S
authors.lastname: Wolf
authors.forename: Steffen
authors.initials: S
authors.lastname: Weber-Carstens
authors.forename: Thomas-Nicolas
authors.initials: TN
authors.lastname: Lehmann
authors.forename: Andreas
authors.initials: A
authors.lastname: Adler
authors.forename: Markus
authors.initials: M
authors.lastname: Ruhnke
authors.forename: Kathrin
authors.initials: K
authors.lastname: Tintelnot
mesh_terms: 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
chemical_list: D000935:Antifungal Agents