[Ileal mucormycosis diagnosed by colonoscopy in a patient with acute myeloid leukemia].
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.
Han
Jae Yong
JY
Departments of Internal Medicine,Yonsei University College of Medicine, Seoul, Korea.
Cheon
Jae Hee
JH
Kim
Duk Hwan
DH
Chon
Hong Jae
HJ
Kim
Sang Kyum
SK
Kim
Tae Il
TI
Min
Yoo Hong
YH
Kim
Won Ho
WH
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003113:Colonoscopy; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D007082:Ileum / Q000473:pathology; D016867:Immunocompromised Host; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000188:drug therapy; D008297:Male; D009091:Mucormycosis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D055815:Young Adult
D000935:Antifungal Agents; D000666:Amphotericin B